Job Summary: 

• User support and training of Rx solutions applications
• Provide data analysis for internal and external reporting
• Maintain current knowledge regarding changes in the data systems and methodologies
• Develops reports and extrapolates meaning and mining for data reporting
• Build and maintain Access and Excel databases to be able to use for data analysis and as an ad-hoc reporting database
• Maintain documentation to describe development, logic and corrections and manuals to describe operating procedures
• Oversee and manage product strategy projects to deliver industry-leading analytics related to decentralized trials, quality by design, and risk-based quality metrics
• Provide subject matter expertise on current industry solutions related to analytics technologies, relevant user segments, and platform master data roadmaps.
• Develop, maintain, and train coworkers, customers and partners on processes related to data analytics

Skills on Resume:

• Application Training (Soft Skills)
• Data Analysis (Hard Skills)
• Industry Knowledge Update (Soft Skills)
• Report Development (Hard Skills)
• Database Management (Hard Skills)
• Documentation Maintenance (Hard Skills)
• Product Strategy Management (Soft Skills)
• Subject Matter Expertise (Hard Skills)

Job Summary: 

• Using software tools to extract and verify data required to populate solution sets. 
• Developing solutions for standard operational reports, ad hoc queries, drill-down analytics, and data visualization (dashboards).
• Identifying potential network quality problems, including performance issues, and providing analysis to help drive towards a resolution.
• Effectively collaborate within peer groups, and throughout the customer base.
• Collection, extraction, maintenance, and analysis of data, both internal and external to MMG
• Providing analysis & reporting capabilities for the decision support and strategic planning functions
• Quality Improvement implementation and assessment 
• Provide – Data Analysis & Reporting to ensure that data, analysis and reporting is done in timely and effective manner
• Ensuring compliance with grant funders data reporting requirements, institutional, HIPPA and with all regulatory and Medical Center standards
• Working closely with physicians and leadership in understanding and delivering reporting needs in a timely manner

Skills on Resume:

• Data Extraction and Verification (Hard Skills)
• Analytical Reporting (Hard Skills)
• Network Quality Analysis (Hard Skills)
• Collaborative Teamwork (Soft Skills)
• Data Management (Hard Skills)
• Decision Support Analysis (Hard Skills)
• Quality Improvement (Hard Skills)
• Regulatory Compliance (Hard Skills)

Job Summary: 

• Collaborate with the Principal Investigator to develop manual review listing(s) and conduct manual review
• Keep the Principal Investigator informed of data status and issues
• Track patient status for clinical data review, facilitate clinical data review meetings
• Support data management activities for multiple study protocols
• Provide input on study-related documents, such as case report forms and data management plan
• Ensure required study documentation is filed
• Ensure accuracy, quality, and timeliness of all work completed for study assignments
• Communicate effectively within a multi-disciplinary project team and external resources to complete assigned tasks on time and within budget
• Perform study support and direct customer and/or partner consulting 
• Represent client at external industry events (i.e. industry committees, conferences, customer sessions, marketing efforts, etc.)

Skills on Resume:

• Manual Data Review (Hard Skills)
• Patient Data Tracking (Hard Skills)
• Data Management Support (Hard Skills)
• Document Management (Hard Skills)
• Quality Control (Hard Skills)
• Team Communication (Soft Skills)
• Client Representation (Soft Skills)
• Event Participation (Soft Skills)

Job Summary: 

• Execute data management activities in accordance with Good Clinical Practice (GCP) and Standard Operating Procedures(SOPs) set forth by HCA Research Institute and its sponsors
• Review study-specific documentation to obtain understanding of study-specific data processing requirements
• Review and query data to ensure the accuracy, quality, and integrity of the study
• Produce study-specific status reports 
• Collaboratewithstudyteammemberstoprovidedatastatusupdatesandresolvedataissues
• Work with programmer to develop reconciliation reports and perform data reconciliation as defined in the scope of work and/or data management plan
• Develop CRF Completion Guidelines and escalate issues appropriately
• Train site staff and study team members on the CRF Completion Guidelines
• Contribute to timeline development

Skills on Resume:

• GCP Adherence (Hard Skills)
• SOP Compliance (Hard Skills)
• Data Quality Control (Hard Skills)
• Report Production (Hard Skills)
• Team Collaboration (Soft Skills)
• Data Reconciliation (Hard Skills)
• Training Development (Soft Skills)
• Timeline Management (Soft Skills)

Job Summary: 

• Acquire, interpret, and analyze oncology data (e.g. provider, claim, EMR, site, PI, etc.)
• Perform provider network analysis and strategy development
• Support insights generation and understand data irregularities and drivers
• Communicate results from the data through different versions of presentations while due diligencing sites, PIs, and patient population densities
• Work with Massive Bio’s technology team to automate date acquisition and analytics
• Analyzes and resolves patient claims being held by Billing edits, Medical necessity, Corrects Coding Initiative, Outpatient Code Editor(OCE), Inpatient Code Editor, Self Administered and other claims requiring technical coding and billing expertise
• Interacts with ancillary departments to obtain additional information needed to properly bill accounts.
• Recommends systemic enhancements to mitigate future edits.
• Work with the Partnership Team on identifying and validating potential partnerships related to benchmarking and analytics

Skills on Resume:

• Oncology Data Analysis (Hard Skills)
• Network Analysis and Strategy (Hard Skills)
• Data Insight Generation (Hard Skills)
• Presentation Skills (Soft Skills)
• Technology Collaboration (Soft Skills)
• Claims Resolution (Hard Skills)
• Interdepartmental Communication (Soft Skills)
• System Enhancement Recommendations (Hard Skills)

Job Summary: 

• Serves as charge master liaison assistant to include regular reviews of CPT codes, Revenue Codes, review of monthly standard CDM error report, and communicates with Ancillary Departments to resolve issues.
• Applies quarterly Medicare updates as applicable to JFK line of business.
• Works with the Revenue Integrity Specialist to incorporate the mandated changes with the effected departments.
• Updates the CDM to reflect changes in a timely manner.
• Demonstrate a working knowledge of mandated billing, coding and regulatory rules by reading and attending web based education session, reading transmittals and applicable CMS educational materials.
• Validates the precert/referral number and all its requirements prior to scheduled procedure.
• Work with the test performing department and the credit team to ensure accuracy of all related elements.
• Maintains and distributes the daily compilation of precert issues to the team.
• Participates in the monthly issue reconciliation related to this process.
• Compiles and scans all associated documents to ensure the ability to retrieve for future needs including audit compliance. 

Skills on Resume:

• CPT Code Review (Hard Skills)
• Medicare Policy Application (Hard Skills)
• Revenue Integrity Coordination (Hard Skills)
• CDM Updates (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Cross-Departmental Collaboration (Soft Skills)
• Issue Reconciliation (Soft Skills)
• Document Management (Hard Skills)

Job Summary: 

• Create standard work processes to assure that data is accurate, reliable, and reproducible.
• Gather data from multiple sources to create reports, charts, tables, and other graphic displays that guide decision making.
• Evaluates data to identify key trends and opportunities through descriptive and advanced statistical analysis.
• Communicate relevant data findings to caregivers, leaders, and relevant committees in a method easily understood.
• Serve as a project resource and prepare ad hoc reports/data queries 
• Collaborates with work groups and other caregivers to establish process and outcome metrics to drive clinical initiatives forward.
• Serve as a solution matter expert and train other caregivers on the development of data collection strategies to evaluate the effectiveness of clinical programs.
• Identifies charging, coding, or clinical documentation issues and works with ancillary departments to resolve issues and notifies appropriate leadership.
• Performs assigned Revenue Cycle related audits by researching clinical documentation, analyzing data, and developing recommendations to improve reimbursement and cash flow.
• Maintains compliance with all Orlando Health policies and procedures.

Skills on Resume:

• Data Accuracy Assurance (Hard Skills)
• Multisource Data Gathering (Hard Skills)
• Trend Analysis (Hard Skills)
• Communicative Reporting (Soft Skills)
• Project Resource Management (Soft Skills)
• Collaborative Metric Development (Soft Skills)
• Training and Development (Soft Skills)
• Revenue Cycle Auditing (Hard Skills)

Job Summary: 

• Understanding of the clinical trial process and regulations that apply
• Engages in relevant professional associations or societies, and seeks continuing education about SJM devices and therapies.
• Communicates and collaborates with all levels of employees.
• Follows departmental Standard Operating Procedures (SOPs), Departmental Work Instruction (DWIs), and guidelines.
• Support all Company initiatives as identified by management and in support of Quality Management Systems and other regulatory requirements.
• Management of WLT software.
• Reviews and reconciles all case rated transplant accounts and prepares bundle billing for PAS team to combine with facility claims
• Reviews and approves all refunds prepared by billing office before processing to Finance dept.
• Respond to and resolve billing inquiries from clinic billing office and facility billing team related to denials, charges, providers and coverage/indications
• Acts as a resource for other members of the clinic team related to benefits, authorizations and resources

Skills on Resume: 

• Clinical Trial Regulations (Hard Skills)
• Professional Development (Soft Skills)
• Cross-Level Communication (Soft Skills)
• SOP Adherence (Hard Skills)
• Quality Management (Hard Skills)
• Software Management (Hard Skills)
• Billing Review and Reconciliation (Hard Skills)
• Problem Resolution (Soft Skills)

Job Summary: 

• Checking for any inaccuracies, and adjusting and weighting the raw data, forstatistical modeling and graphic analysis, using statistical software packages.
• Collaborates with vendors to communicate organizational analytics needs, identify solutions, request product enhancements, and communicate and train customers to optimize utilization.
• Prepares a variety of complex to advanced custom reports using system vendor-supplied or supported tools or complex queries using tools like SQL, QlikView, and Microsoft Access to create clinical, quality, and operational metrics.
• Monitors system performance and reports problems to vendor and/or IT/CE application owners. 
• Participates in complex troubleshooting and problem solving under the lead or in conjunction with vendor.
• Maintains system set-up, ensures accuracy and confidentiality of system data.
• Administers end-user security in accordance with IT/CE process and policy.
• Creates protocols for dictionary, table management and/or data entry to standardize processes.
• Assists in the training and development of less experienced staff members.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

Skills on Resume:

• Statistical Modeling (Hard Skills)
• SQL Reporting (Hard Skills)
• Performance Monitoring (Hard Skills)
• Troubleshooting (Soft Skills)
• Vendor Collaboration (Soft Skills)
• Data Security (Hard Skills)
• Process Standardization (Hard Skills)
• Staff Training (Soft Skills)

Job Summary: 

• Leads or participates in planning, installation, enhancement, and testing of analytics systems in collaboration with other Information Technology / Clinical Engineering (IT/CE) teams and/or external vendors. 
• Conducts validation, end user testing, and impact analysis of system changes.
• Participates in the development and execution of functional system test plans and performs ongoing analysis of data specifications
• Coordinates change requirements gathering and implementation 
• Performs data validation and integrity functions.
• Consults with quality and operations staff and leadership to define needs, develop analytics solutions, document technical specifications and requirements
• Provide guidance for the optimal use of analytics resources.
• Analyzes data using mathematical principles or statistical approaches
• Identify trends or relationships among variables, prepare analytic reports and presentations, and provide recommendations based on findings.
• Prepare large amounts of data for processing by organizing information

Skills on Resume:

• System Installation and Enhancement (Hard Skills)
• Data Validation and Integrity Checks (Hard Skills)
• Requirements Gathering (Hard Skills)
• Data Analysis and Statistical Modeling (Hard Skills)
• Project Coordination (Soft Skills)
• Consulting and Solution Development (Soft Skills)
• Trend Identification and Reporting (Hard Skills)
• Leadership and Guidance (Soft Skills)

Job Summary: 

• Provide excellent customer service including problem solving, timely follow up, general assistance to staff in answering phones, registration, insurance verification/referrals, and scheduling appointments
• Utilizes quality control techniques to ensure that correct billing information is collected to produce and generate clean claims for submission
• Receives and reviews charge documents from clinic
• Ensuring charge information is accurate and complete, which may include evaluation of the medical record documentation 
• Validate coding and documentation to support the outpatient visit and compliance with legal standards and guidelines
• Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence correct ICD9 codes
• Maintains compliance with and implementation of new policies and procedures
• Answers billing inquiries or directs inquirer to appropriate resource - liaison between billing company, finance team, patients and office, involving heavy correspondence volume
• Uses appropriate patient feedback and refers patients to other Ability to Pay or CICP programs when the need arises (undocumented, no income)
• Reviews and approves payment of ancillary claims related to transplant case rated patient accounts and serves as liaison between providers and facility for payment inquiries

Skills on Resume: 

• Customer Service (Soft Skills)
• Problem Solving (Soft Skills)
• Medical Billing (Hard Skills)
• Medical Coding (ICD9) (Hard Skills)
• Documentation Compliance (Hard Skills)
• Policy Implementation (Hard Skills)
• Interpersonal Communication (Soft Skills)
• Conflict Resolution (Soft Skills)

Job Summary: 

• With appropriate manager oversight, performs all data analytics activities for assigned studies.
• Edit Check specifications development and maintenance.
• Data Quality checks and discrepancy management.
• Analyzes data, identifies trends, and prepares data tables for clinical reports.
• Database setup testing and Edit Check programming testing.
• Participate in Post Market Surveillance reporting  
• Ensures that all data analytics activities for assigned studies are completed on time and with high quality or escalate 
• Communicates well with peers, study teams and management as appropriate to support studies and goals.
• Represents the Data Analytics group at study team meetings.
• Applies best practices and established standards.

Skills on Resume:

• Data Analytics (Hard Skills)
• Database Management (Hard Skills)
• Trend Analysis (Hard Skills)
• Quality Assurance Testing (Hard Skills)
• Communication Skills (Soft Skills)
• Time Management (Soft Skills)
• Team Collaboration (Soft Skills)
• Problem-solving (Soft Skills)