Shriners Children's

The Clinical Research Associate coordinates and implements system-wide processes for clinical research operations, ensuring compliance with regulations and ethical standards. They facilitate communication between research sites and external entities, and support genomics research activities. | Candidates must have 3 years of clinical research experience or a bachelor's degree in a related field, with a preference for experience in multi-site studies and genomics. Certification such as CCRP or CCRC and a master's degree are preferred. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Clinical Research Associate (CRA) is a specialized, independent research professional who supports the Corporate Director of Clinical Research with managing and maintaining system-wide clinical research operations, staff education, and compliance. This position’s responsibilities are to facilitate appropriate and ethical clinical research activities in accordance with the protocol, Shriners Children's (SC’s) policies and procedures, SC’s hospital regulations, the Code of Federal Regulation, and Good Clinical Practice guidelines. The role will further contribute to core support functions that advance system-wide genomics research efforts. Responsibilities Clinical Research Operations Coordinates and implements SC system-wide processes and initiatives to standardize clinical research operations system-wide Facilitates research activities through collaborative, timely communications with SHC sites and external entities to contribute to the development and dissemination of policies and procedures related to research compliance/activities. Maintains and assists with the system wide use and daily operations of the clinical research management system used to oversee and monitor clinical research activities. Accountable for the initiation and maintenance of all Human Subjects and Regulatory documents necessary for submission to SC’s centralized Institutional Review Board. Proactively works with study sponsors, and various agencies in order to obtain initial and continued approval of all clinical trials/clinical research protocols. Has an extensive working knowledge of the complex clinical research process, from protocol development to implementation, including experience with clinical trials. Demonstrates knowledge of ethical standards set forth by the Belmont Report, the Nuremberg Code and the International Conference of Harmonization GCP standards. Exhibits a commitment to human subjects’ protection by providing the highest level of ethical and safety practices to protect all participants involved in research studies supported and approved by SC. Supports coordination of system-wide genomics clinical research activities, including protocol development and executions, incorporating appropriate sample collection, processing, and storage requirements. Compliance Performs regular reviews (monitoring) of (1) study specific essential documents, (2) investigator and study personnel qualifications, (3) data, and (4) data safeguards to ensure research is being conducted, recorded and reported in accordance with the protocol, policies and procedures, hospital regulations, Code of Federal Regulation, and Good Clinical Practice guidelines, where applicable. Evaluates protocols under initial consideration for regulatory requirements including SC mission, feasibility, data collection, entry, storage and reporting. Facilitates regulatory compliance between investigators, research staff, SC and external regulatory entities. Confirms appropriate training and education, ensuring that site staff are qualified to safely perform study protocols. Collaborates with investigators and other research staff to mitigate risk. Develop and implement strategies necessary for minimizing risk of non-compliance Reports any concerns or issues directly to the Corporate Director of Clinical Research and/or the Vice President, Research Programs. Monitors system-wide genomics research activities, associated with clinical research operations. Education and Training Interacts with sites providing education and support, with follow up as appropriate Provides guidance, under supervision of the Corporate Director of Clinical Research to investigators and research staff, in the interpretation of applicable regulations and guidelines, to include but not limited to GCP, GLP, ICH, FDA and DHHS guidelines. Implements and conducts on-going education and training for SC research personnel related to clinical research activities, SC policies and procedures, Good Clinical Practices, and regulations governing clinical research. Provides expertise, consultation and mentorship to SC staff with respect to research processes and applicable regulations. Maintains education in human subject protection and good clinical practice principles, and applies knowledge of those ethical principles when interacting with staff, subjects, and other entities. Works with the SC Genomics Institute staff, SC site location teams, and HQ staff to establish standard clinical research processes associated with the system-wide genomics projects. This includes training, and education related to clinical research operations. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: 3 years of clinical research experience (site management, study management, IRB's, and federal regulations regarding clinical research compliance) Bachelor's Degree in clinical research, science or other healthcare related field - or - 5 years of job-related experience in clinical research administration in lieu of degree Preferred: Experience in coordination of intergroup of multi-site clinical studies Job-related experience in development, review, oversight, or performance management of human clinical studies Experience with clinical research genomics or strong familiarity with genomics concepts in clinical or research settings. Knowledge of CLIA laboratory sample-processing workflows and foundational genomics terminology. CCRP or CCRC certification Master's Degree in clinical research, science or other healthcare related field

The Senior Workday Systems Analyst will focus on Workday Integration development, monitoring, and support, ensuring seamless data flow between Workday and external/internal systems. This role will also support the Workday Finance implementation and ongoing enhancements, acting as a liaison between Finance, IT, and other stakeholders. | Candidates should have strong knowledge of at least two Workday modules and possess strong analytical and problem-solving skills. A Bachelor's degree is required, with a preference for degrees in Finance, Accounting, Information Systems, or related fields, along with 5-8 years of relevant experience. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Senior Workday Systems Analyst serves as the Common Configurator for Workday Human Capital Management (HCM), Workday Financials (FDM), Supply Chain, Security, Integration and Core. This role will focus on Workday Integration development, monitoring, and support providing end-user assistance across HCM, Financials, and Supply Chain modules. This role is critical to ensuring seamless data flow between Workday and external/internal systems, supporting business operations through robust, scalable, and secure integration solutions. As a technical expert, they will collaborate with HR, Finance, Supply Chain, and IS teams to translate business needs into integration strategies, maintain system stability, and drive continuous improvement in our Workday ecosystem. This position will play a critical role in supporting the Workday Finance implementation, ensuring a successful go-live, and providing ongoing support for future-state enhancements. This position serves as a liaison between Finance, IT, and other stakeholders, leveraging deep Workday expertise to optimize business processes and system functionality. Responsibilities Implementation Support Collaborate with Finance and technical teams during Workday Financials implementation Assist with configuration validation, testing and troubleshooting Support data conversion, integrations, and reporting requirements Go-Live Readiness Participate in cutover planning and execution Provide end-user support during go-life and stabilization period Monitor system performance and resolve issues promptly Post Go-Life & Future State Maintain and enhance Workday Financials functionality, including business processes, security, and reporting Partner with Finance leadership to identify opportunities for optimization and automation Manage system updates, regression testing, and new feature adoption Stakeholder Engagement Serve as a SME for Workday Financial modules (e.g., General Ledger, Accounts Payable, Customer Accounts, Expenses, etc.) Provide training and documentation for end-users Act as a liaison between Finance and IT for issue resolution and enhancements This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: Strong knowledge of at least two Workday modules (HCM, Payroll, FDM or Supply Chain). Strong analytical, problem-solving, and communication skills Bachelor's Degree Preferred: Bachelor's degree in Finance, Accounting, Information Systems, Computer Science, or related field 5-8 years of experience with Workday configuring and supporting at least two modules Proficiency in Workday Studio, EIBs, Core Connectors, and integration frameworks

The Workday Reporting Analyst will provide ongoing support post-go-live for the Workday Financials implementation team. This role focuses on designing, building, and maintaining Workday reports and dashboards to enable data-driven decision making. | The ideal candidate should have strong experience in Workday reporting tools and a solid understanding of financial processes. A Bachelor's degree is required, along with strong analytical and communication skills. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Workday Reporting Analyst will join our Workday Financials implementation team to provide ongoing support post–go-live. This role is critical to ensuring accurate, insightful, and actionable reporting across our multi-state nonprofit healthcare system. The Workday Reporting Analyst focuses on designing, building, and maintaining Workday reports and dashboards to enable data-driven decision making. Responsibilities Develop and test custom reports using Workday tools (Advanced, Matrix, Composite Reports, Dashboards). Gather reporting requirements and document specifications. Support data validation during implementation and maintain reports post–go-live. Provide end-user training and troubleshoot reporting issues. Collaborate with Finance, HR, and Supply Chain teams to ensure accuracy. Stay current with Workday releases and recommend enhancements. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications The ideal candidate will have strong experience in Workday reporting tools, a solid understanding of financial processes, and a passion for enabling data-driven decision-making in a mission-driven environment. Required: Strong knowledge of at least two Workday modules (HCM, Payroll, FDM or Supply Chain). Strong analytical, problem-solving, and communication skills Bachelor's Degree Preferred: Bachelor's degree in Finance, Accounting, Information Systems, Computer Science, or related field Workday Pro Certified in HCM Module 2+ years of experience with Workday configuring and supporting at least two modules. Proficiency in Workday Studio, EIBs, Core Connectors, and integration frameworks.

The Hospital Billing Denials Analyst is responsible for analyzing pre-billing payer rejections and billing denials data, creating metrics, and tracking denials due to payer billing requirements. The Analyst will identify root causes, report findings, and assist in process improvement opportunities. | Candidates should have 3-5 years of experience in medical billing and possess expert knowledge in claims processing practices. A high school diploma or GED is required, with a preference for a bachelor's degree or equivalent experience. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Hospital Billing Denials Analyst is responsible for proactively analyzing pre-billing payer rejections, as well as billing denials data, creating metrics, as well as tracking and trending denials that occur due to payer billing requirements. The Analyst will identify and trend root causes and report out findings, as well as, assist in mapping out process improvement opportunities. The Analyst will analyze Key Performance Indicator (KPI) data and coordinate revenue cycle analytics for the hospital billing team, utilizing available data, as well as quantify expected revenue impact and other characteristics supporting prioritization decisions. Responsibilities Monitor and analyze billing denials Independently identify billing denial reason trends Provide improvement recommendations Research and keep current on payer billing requirements for all federal, state and third-party payers Submit rebills as appropriate, or route to CBO for follow-up and/or write off Prioritize activities to alleviate untimely filing Create metrics, as well as tracking and trending denials that occur due to payer billing requirements Identify denial reasons and report out findings, as well as, assist in mapping out process improvement opportunities. Ensure accurate processing of claims in a manner that is consistent with industry standards, regulations, and SHC policies and procedures. Document all communications with payers, as well as all billing activities, on the patient’s account with clear, concise, and accurate comments Consistently seek improvement in processes and procedures for all billing and reimbursement functions, to include workflow, and billing issues. Support projects and initiatives. Conduct research for payer criteria, and prepare documents for resubmission or special projects Build and maintain relationships with payer representatives Crosstrain in multiple areas, as well as perform all other duties as assigned This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: 3-5 years of experience in medical billing, to include all EDI Transaction sets, UB04 and 1500 claim form Possess expert knowledge in federal, state and third-party claims’ processing practices Maintain expertise regarding CCI edits, HCPCS, ICD-10, and Revenue Codes High School Diploma/GED Preferred: 3-5 years of experience in insurance claims' processing and follow-up Epic experience Bachelor's degree or equivalent combination of education, training and experience

Design, build, maintain, and support Workday integrations across multiple modules, collaborating with business teams and ensuring data accuracy and security. | Bachelor's degree and 5-8 years of Workday configuration and integration experience with strong knowledge of at least two Workday modules and proficiency in Workday integration tools. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Senior Workday Systems Analyst serves as the Common Configurator for Workday Human Capital Management (HCM), Workday Financials (FDM), Supply Chain, Security, Integration and Core. This role will focus on Workday Integration development, monitoring, and support providing end-user assistance across HCM, Financials, and Supply Chain modules. This role is critical to ensuring seamless data flow between Workday and external/internal systems, supporting business operations through robust, scalable, and secure integration solutions. As a technical expert, they will collaborate with HR, Finance, Supply Chain, and IS teams to translate business needs into integration strategies, maintain system stability, and drive continuous improvement in our Workday ecosystem. Responsibilities Design, build, and maintain integrations using Workday Studio, EIBs, Core Connectors, and Web Services. Monitor integration performance and proactively resolve issues to ensure data accuracy and timeliness. Own the full lifecycle of integrations: requirements gathering, development, testing, deployment, and documentation. Troubleshoot and resolve integration-related incidents and service requests. Collaborate with HR, Finance, Supply Chain, and IS teams to understand business processes and data flows. Ensure integration security and compliance with data governance policies. Maintain version control and documentation through change control processes. Stay current with Workday releases and recommend adoption of new integration features. Identify opportunities to optimize and automate manual processes through integration. Provide training and documentation to technical and functional stakeholders. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: Strong knowledge of at least two Workday modules (HCM, Payroll, FDM or Supply Chain). Strong analytical, problem-solving, and communication skills Bachelor's Degree Preferred: Bachelor's degree in Finance, Accounting, Information Systems, Computer Science, or related field 5-8 years of experience with Workday configuring and supporting at least two modules Proficiency in Workday Studio, EIBs, Core Connectors, and integration frameworks

The Medi-Cal Billing and Follow-Up Specialist manages billing, accounts receivable follow-up, denials, and refunds for Hospital and Professional accounts. They ensure timely resolution of accounts by researching, refiling claims, and monitoring unresolved balances. | Candidates must have a minimum of 5 years of experience in medical billing and 3 years in insurance claims processing. Expert knowledge in claims processing practices and experience with Medi-Cal portals is required. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Medi-Cal Billing and Follow-up Specialist is responsible for managing all of the following for both Hospital and Professional accounts receivable: billing, AR follow-up, short-pay analysis, denials and refunds. The Specialist will manage all aspects of the accounts receivable in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medi-Cal and Managed Medi-Cal. The Specialist will ensure timely resolution of accounts receivable by researching accounts, refiling or appealing claims, submitting additional medical documentation, and tracking account status by monitoring and analyzing unresolved balances, to ensure continuity of cash flow. Responsibilities Coordinate payer denial and appeal follow-up activities to ensure timely processing of all payer denials. Communicate global payer issues to the payer relations team. Communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to denials, appeals, and follow-up. Review all denied accounts for categorization, level of appeal, special requirements for initiating appeals. Maintain expert level knowledge of federal, state, and third-party claims processing. Support projects and initiatives of the revenue cycle teams, including conducting research for payer criteria, and preparing documents. Organize all data and activity in a retrievable way to ensure timely follow-up on appeals to their party payers. Assist with the coordination of denial and review activities and materials for committee meetings, including analysis, reports, etc. Analyze Explanation of Benefits to ensure claims have processed correctly. Appeal all underpaid claims Analyze and identify root causes of claim edits. Escalate trends to management Monitor and work all claim edits to ensure they are fully resolved in a timely manner. Ensure accurate processing of claims in a manner that is consistent with industry standards, regulations, and SHC policies and procedures. Work rejected and denied claims. Use problem solving skills to determine root cause and escalate trends to management Prioritize activities to alleviate untimely filing. Research, verify, and take appropriate actions as it relates to all pre-billing adjustments. Consistently seek improvement in processes and procedures for all billing and reimbursement functions, to include problems with workflow, and billing issues. Escalate possible process improvement initiatives to management Analyze and resolve all credit balances in accordance with payer guidelines. Build and maintain relationships with payer representatives. Crosstrain in multiple areas, as well as perform all other duties as assigned. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Minimum: 5+ yrs of experience in medical billing including EDI Transaction sets, UB05 and 1500 claim forms 3+ yrs of experience in insurance claims processing and follow-up Expert knowledge in federal, state and third-party claims’ processing practices Expertise regarding CCI edits, HCPCS, ICD-10, and Revenue Codes Experience navigating Medi-Cal (California Medicaid Healthecare Program) portals for billing and follow-up High School Diploma/GED Preferred: Epic experience

The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, and tracking denials across multiple systems. The analyst will also identify root causes, report findings, and assist in process improvement opportunities. | A Bachelor's degree or equivalent experience is required, along with 5-7 years in a Healthcare Revenue Cycle Environment, including 3 years in Denials Management. Knowledge of Epic PB Resolute and various healthcare billing standards is essential. | Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities. The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews. Responsibilities Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems Distributing reports on a routine basis to specific distribution group Managing Epic work queues and resolving denials. Gathering data to substantiate the request for rule creations in Epic. Research payer fee schedules and provider manuals to ensure appropriate non covered denials. Organizing all data and activity in a retrievable way Coordinating payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals for both institutional and professional claims Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc. Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to claim denials and audit reviews Maintaining the healthcare tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training Supporting projects and initiatives of the Denials Management Team. This may include coordinating meetings, conducting research, performing audits or data analysis, and preparing documents Strong communication skills and a commitment to delivering the highest level of quality work This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: Bachelor's degree, or equivalent combination of education and experience 5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management Epic PB Resolute experience Healthcare Revenue Cycle management including:• Therapy (Physical/Occupational/Speech)• Radiology• Pediatrics/Pediatric Orthopedics• Anesthesia EDI Transaction sets including 837I, 837P Knowledge of insurance contract rates and terms Knowledge and understanding of Registration and Collections Knowledge and understanding of Government and Managed Care billing, coverage and payment rules Ability to comprehend payor 835 and paper EOB responses Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards Intermediate Excel skills Preferred: CRCR Certification Epic Certification

Oversee quality monitoring and staff development activities, implement training and quality assurance frameworks, and support continuous improvement in a multi-site medical group. | Bachelor's degree, 5+ years training experience in contact center, Epic EHR experience, proficiency with Microsoft 365, and preferred certifications in Lean Six Sigma and project management. | Company Overview Why Shriners Children’s? Shriners Children's is the premier pediatric burn, orthopedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties healthcare system. With multiple hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Our mission is to change and improve lives by caring for our patients, conducting research to gain knowledge and develop new treatments, and providing educational opportunities for physicians and other healthcare professionals. Ranked top Midsized Employer by Forbes and Statistica Inc. (2025) 4 locations ranked on S. News & World Report’s list of Best Children’s Hospitals for pediatric orthopedics (2025-2026) Winner of 4 Press Ganey Guardian of Excellence Awards and 4 Pinnacle of Excellence Awards for Inpatient Pediatric and Medical Practice Patient Experience (2025) $20 million in annual funding for innovative research in genomics, clinical motional analysis, and other forms of translational research. Benefits Medical, Dental, and Vision Insurance: Health Savings Account (HSA) and Flexible Spending Account (FSA) options available 403(b) Retirement Savings Plan with generous employer match Public Service Loan Forgiveness (PSLF) eligibility Tuition Reimbursement Basic Life/AD&D and Short-Term Disability Insurance provided at no cost Paid Time Off (PTO) and Extended Illness Bank (EIB) Voluntary Benefits: Long Term Disability Insurance, Critical Illness/Accident Insurance, hospital indemnity coverage, identity theft protection, and more. All employees are eligible to receive medical, vision and dental coverage starting on their first day. Other benefit elections may vary based on eligibility and location. Job Overview The Quality Assurance and Training Manager, Medical Group, is a dynamic leader responsible for overseeing all quality monitoring and staff development activities within the Shriners Medical Group. This role plays a pivotal part in shaping Shriners Children’s Medical Group’s emerging national infrastructure. The Quality Assurance and Training Manager will be instrumental in building a unified culture of accountability, operational excellence, and data literacy across multiple regions. This position ensures that every patient, regardless of location, experiences consistent, high-quality, and efficient service aligned with the organization’s mission and performance standards. This is a full-time, full benefits eligible position with a pay range of $104,500 to $156,750 determined by years of relevant experience and departmental equity. Responsibilities Serve as a liaison between local operations and enterprise leadership to identify systemic training needs and integrate feedback loops into performance management Collaborate on data literacy programs to enhance staff comfort interpreting and acting on key performance indicators (KPIs) Design, implement, and manage the quality assurance framework and scorecards. Implement coaching and development programs that align with KPIs and business goals. Develop and present executive-level reporting and analysis, highlighting trends, risks, and recommendations. Standardize workflows and best practices in partnership with operational leaders. Support continuous improvement initiatives and contribute to policy updates, process redesigns, and technology implementations. Collaborate with subject matter experts to create job aids and training manuals. Evaluate training effectiveness through assessments, performance metrics, and post-training performance trends. Qualifications Education Bachelor's degree required. Equivalent combination of education and/or relevant experience may be considered Master of Health Administration (MHA), Master of Business Administration (MBA), or related degree preferred Certifications Lean Six Sigma Certification preferred Project Management Professional (PMP), Certified Associate in Project Management (CAPM), or other project management certification preferred Experience Minimum of 5 years of training and staff development experience in a contact center environment. Additional Knowledge and Skills Epic experience required; equivalent EHR experience will be considered. Proficient in Microsoft 365 applications, including Excel, PowerPoint, Word, and Outlook. Experience with contact center platforms such as Cisco, Invoca, Calabrio, or similar systems. Culture Transformation: Champion a culture of continuous learning, performance transparency, and data-driven decision-making across all Central Operations functions. Consistency: Develop and maintain enterprise-level quality and training frameworks that ensure consistency across geographically distributed sites. Analytics and Insights: Partner with Analytics and IT teams to translate QA findings and training outcomes into actionable performance dashboards. Change Leadership: Serve as an agent for operational and cultural transformation, promoting adoption of common metrics, workflows, and accountability structures.

The Corporate Credentialing Specialist coordinates and organizes the credentialing and privileging of physicians and advanced practice professionals. This role involves ensuring compliance with federal and state regulations and maintaining strict confidentiality. | Candidates must have at least one year of hospital regulatory credentialing experience and proficiency in MS Office. A high school diploma or GED is required, and certification in CPCS or CPMSM must be obtained within 24 months of hire. | Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Corporate Credentialing Specialist coordinates and organizes ongoing credentialing and privileging of physicians and advanced practice professionals. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality. Ensures compliance with federal and state agencies, organizational policies and accrediting and regulatory agencies. Responsibilities Coordinates and organizes credentialing/privileging requests/modifications for an SHC facility and supports providers requesting privileges at affiliate locations. Ensures evidence of education, training, and experience to determine eligibility for requested privileges, membership. Verifies and documents credentials and expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards; as well as manages and documents all communication with providers and primary facilities to ensure notification of upcoming expirables. Keeps record of all credentialing activities in the credentialing database to ensure files reflect current status. Recognizes, investigates, and validates discrepancies and adverse information obtained; obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance. Responsible for confidentiality and data entry, maintenance, and analysis of clinical provider information within database per established guidelines to ensure complete electronic credential file to support provider enrollment and delegation requirements. Collaborates credentialing, OPPE, FPPE and privileging activities with SHC Medical Staff Offices to ensure timely approval process of governing bodies, participation in accreditation surveys and audits, to include verification of appropriate drug and criminal background screenings. Prioritizes workload to meet deadlines. Maintains current knowledge of accreditation standards (TJC, NCQA), state and federal regulations, as well as SHC medical staff bylaws, regulations, and procedural rules. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Minimum: 1 year of hospital regulatory credentialing experience 1 year of experience maintaining all required data in MD Staff, or similar credentialing database Proficiency in MS Office required (Word, Excel, PowerPoint, Outlook, Access) CPCS or CPMSM certification - if not currently certified, will need to obtain within 24 months of hire or upon eligibility High School Diploma or GED required Preferred: Associate's or Bachelor's Degree

Configure, administer, and support Workday HR modules across international locations focusing on HCM workstreams. | Bachelor's degree, 2+ years Workday experience with at least two modules, Workday Pro Certified in HCM, strong analytical and communication skills, and fluency in French. | The Workday System Analyst role will focus on Workday HR Administration, configuration, and support across the HCM workstreams for our international locations, including Canada (with emphasis on Quebec) and Mexico. Requirements • Strong knowledge of at least two of the following Workday modules: Core, HCM, Benefits or Compensation • Strong analytical, problem-solving, and communication skills • Fluency in French (written and spoken) • Bachelor's Degree • Workday Pro Certified in HCM Module • 2+ years of experience with Workday configuring and supporting at least two modules. • Proficiency in Workday Studio, EIBs, Core Connectors, and integration frameworks Benefits • Medical coverage • 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service • Paid time off • Life insurance • Short term and long-term disability • Flexible Spending Account (FSA) plans • Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected • Tuition reimbursement • Home & auto insurance • Hospitalization • Critical illness • Pet insurance