Advocate Aurora Health

Program Manager

• Responsible for overall management of the life cycle implementation of revenue cycle functions for the strategic partnership, including ensuring milestone completion for readiness, workflow analysis, testing, training, go-live, and transition to post-live support.
• Serves as the single point of contact for all revenue cycle inquiries or escalations from assigned partnerships.
• Ensures that all risks/issues are identified and resolved or escalated for each assigned partnership.
• Conducts needs assessment and gap analysis of current and future state workflows.
• Collaborates with Revenue Cycle Informatics team regarding training or increased support needs for each assigned partnership.
• Identifies and coordinates support needs for assigned partnerships.
• Occasional on-site support.
• This position requires travel, therefore, will be exposed to weather and road conditions.

Revenue Cycle Partnership Program Manager

Compliance

• Reviews selected populations of inpatient medical records to identify the principal and/or secondary diagnoses.
• Appropriately assigns the MS-DRG that most accurately reflects the severity of illness of the patient based upon the clinical evidence documented at the time of the record review.
• Demonstrates knowledge and understanding of severity based DRG systems; All Patient Refined and Medicare Severity (AP-DRG) and Medical Severity Diagnostic Related Group System (MS-DRG).
• Demonstrates the ability to utilize the licensed software tool to perform and record daily medical record reviews.
• Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner.
• Works with other departments such as coding, corporate compliance, quality, and finance to support Corporate Goals.
• Participates in the ongoing education of physicians, nurse practitioners, physician assistants and other healthcare team members to identify medical record documentation improvement opportunities employing conflict resolution skills as necessary.
• Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record.
• Ensures that all written requests to physicians for additional documentation support Corporate Compliance policies.

Compliance Documentation Improvement Specialist, RN

Operations

• Analyze, evaluate, and create IT workflows and processes across the IT department to identify inefficiencies and design improvements.
• Collect and analyze data using descriptive statistics and process mapping tools; measure performance metrics and track implemented changes.
• Coach and train IT teammates on Lean Six Sigma and advanced problem-solving methodologies; lead RIE and VSA events.
• Develop and manage moderate to complex process improvement initiatives, including scope, risk/change management, stakeholder engagement, and performance monitoring.
• Research, benchmark, and pilot advanced process improvement tools and methodologies; provide reports and adoption recommendations.
• Deliver comprehensive training programs, provide mentorship, and ensure continuous improvement sustainment.

IT Process Improvement Analyst

Analyst

• Leverages pharmacist clinical skills and informatics skills to support the medication electronic health record
• Serves as a liaison regarding clinical informatics and consults with providers, leadership, physicians, and clinicians to evaluate information systems
• Develops informatics plans, data analysis, and systems that advance evidence-based practice, improve medication safety, and optimize medication-related workflows
• Designs, evaluates, and implements new electronic health record build to support clinical practice and improve quality and safety of patient care
• Provides critical link between medication workflows and technology by analyzing and communicating complex informatics issues
• Supports informatics solutions for clinical and operational improvements and assists in creation of data analytics to facilitate data review and improve performance
• Develops and implements automated clinical rules supporting patient care
• Consults with external agencies and organizations to ensure compliance with regulatory requirements

Pharmacist Analyst, Epic – Beacon/Willow

• Designs and develops technical and/or non-technical solutions to moderate to complex business needs and changes
• Assists with conversion and operational support planning activities and tasks of multiple simultaneous projects
• Manage training when applicable and identify impacts across Epic and 3rd party applications
• Acts independently to understand client business requirements and coordinate integrated design teams
• Perform analysis, design, configuration, testing and maintenance; serve as resource for assigned application(s)
• Support and troubleshoot applications and respond to user calls as necessary
• Communicate with users and stakeholders about specifications, impact monitoring, training, and support
• Serve as liaison between business community and IT to provide technical solutions
• Evaluate vendor offerings and software enhancements; facilitate development, implementation and maintenance tasks
• Analyze clinical service line operations to identify automation and process redesign opportunities
• Prepare project plans, timelines and budget estimates and coordinate system development, implementation and maintenance

Epic Application Analyst

Architect

• Develop solutions architecture and evaluate architectural alternatives.
• Define and articulate an integration strategy, architecture, design patterns, and standards.
• Drive scope definition, requirements analysis, data and technical design, pipeline build, product configuration, unit testing, and production deployment.
• Introduce new integration solutions from design to rollout.
• Design scalable ingestion processes to bring on-prem, API driven, 3rd party, end user generated data sources into common cloud infrastructure.
• Design reusable assets, components, standards, frameworks, and processes to accelerate and facilitate data integration projects.
• Provide technical leadership and guidance to development teams, ensuring best practices in data integration.
• Diagnose and resolve issues, provide workarounds or escalate to service owners.
• Build processes supporting data transformation, data structures, metadata, dependency and workload management.
• Ensure delivered solutions meet functional and non-functional requirements and committed timeframes.
• Maintain overall industry knowledge on latest trends and technologies.

Cloud Data Integration Architect

Manager

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner.
• Understands and interprets multiple contracts and contractual obligations in order to enable the care management team to achieve maximum clinical and financial outcomes.
• Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.
• May work embedded within a provider office or telephonically working with a care team.
• Uses evidenced-based approaches to increase patient and family activation and engagement in their own care.
• As appropriate to the population, partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals.
• Assists in the development, procurement, and adoption of patient self-management educational resources.
• Identifies potential barriers to learning and/or to the optimal delivery of care. Reports abnormal findings to the responsible provider/care team, and collaborates to develop a plan.
• Independently manages CM caseload according to department expectations.
• Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
• Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up in order to deliver continuity of care.
• Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status and determines priorities of patient care based on essential patient needs.
• Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care.
• Coordinates referrals to other internal AAH departments and/or external community resources as necessary.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
• Incumbent may be required to perform other related duties.

Registered Nurse – Care Manager

Vice President

Leads the development and implementation of new programs and services in an efficient and cost-effective manner.
Leads integration and optimization of operations across the Division.
Supports merger and acquisition activity, including providing subject matter expertise on candidate assessments, facility and equipment needs, existing care gaps, competitive analysis, and workforce plan adjustments.
Supports efforts to achieve specialty based national certifications and accreditations to improve clinical quality, enhance payor alignment, and public recognition.
Ensures alignment of performance metrics and organizational strategy across the service line and acts as a liaison of indirect service line areas as assigned by the leadership team.
Leads fiscal reviews of internal resources to promote an efficient and effective environment for all departments/areas of responsibility.
Responsible for overall budget related to respective NSL Division services.
Ensures workforce strategy that supports the business strategy of their respective NSL Division, including staffing, aligning skills with roles, leadership development, diversity, and inclusion.
Responsible for all staff selection, budgeted FTE, and maintaining salaries of workforce in accordance with policies and guidelines set by Human Resources and Finance.
Responsible for enhancing existing services or creating new services across the care continuum based upon observation and development with Enterprise and Division service line stakeholders.
Assesses technology, industry, professional and national developments, reimbursement trends, and market dynamics to develop short- term and long-term strategic plans.
Responsible for maintaining a broad knowledge of clinical service line products and services and articulates the respective value propositions to enhance safety and health outcomes, reduce clinical variation, cost of care, and enhance revenue opportunities.
Responsible for value-based care, episode bundles, and/or population health as related to the respective NSL Division services.
Develops and implements specific operational goals and objectives on an annual basis in support of the hospital’s strategic plan and in concert with the overall service line plan for their respective NSL Division services.
Provides thought leadership and guidance to facility and physician service group leaders on NSL related issues/decisions.
Demonstrates knowledge/expertise regarding change readiness, cultural change, and impact of change on organizations.
Leads and oversees quality control during the development of process maps and frameworks that support improved organizational design and alignment for the service line.
Assists in defining and developing the necessary resources to appropriately support research and educational missions aligned with a premier health system.
In coordination with Division presidents and Area leaders, responsible for the development of long range operational and clinical service line growth plans, growth, and performance excellence initiatives at the facility level.
Supports the activities of the enterprise Foundation, participating in community events and representing their respective NSL Division to the greater marketplace.
Ensures alignment with Enterprise and Division service line administrators and leaders responsible for local implementation of daily operations.
Represents their respective NSL in local, state, regional and national organizations, and societies.
Responsible for the social imperative initiative to create greater access to all underrepresented communities.
Collaborates with marketing to enhance the brand strength of their respective NSL services.
Recognizes and values research, new discoveries, novel care models, and the educational mandates of an academic learning health system; creates a clinical environment that supports and facilitates the academic missions.
Physical Requirements and Working Conditions: Operates all equipment necessary to perform the job.
Exposed to a normal office environment
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Vice President, National Cancer Service Line

Supply Chain

• Leads a team of analysts and ensures that all work is delivered timely, meets customer specifications, uses standardized methods, and adheres to data quality standards.
• Advocates for supply chain’s analytics mission, vision, and strategy within the enterprise.
• Operates analytics team using Agile project management techniques to enable a consistent process for managing incoming work and deliverables.
• Manages a team of analysts. Regularly provides feedback and cultivates opportunities for professional development.
• Creates and supports a culture of employee engagement, accountability, innovation, continuous improvement, and efficiency.
• Translates high-level business problems into solutions using data-driven modeling and analysis.
• Uses analytical skills to work with large and complex datasets, build decision-support tools, and develop recommendations to guide business decisions.
• Ensures deliverables meet the needs of the organization and align with Advocate Health’s strategic imperatives.
• Understands and contributes to the strategic direction set by senior leadership as it relates to team goals.
• Accountable for supply chain analytics pipeline and roadmap within assigned scope of responsibility and advocates for supply chain decision support tools and capabilities to leadership/key stakeholders across Advocate Health.
• Guides the development and tracks KPIs as defined by supply chain leadership to monitor supply expense, operational efficiency, clinical variation, and product utilization across the organization.
• Organizes information and recommendations into presentation quality materials including executive level presentations for use in management meetings.
• Meets with and delivers analytics to enterprise leaders and executives, as required.
• Cultivates and maintains strong partnerships with key stakeholders inside and outside of supply chain across all regions.
• Provides information and counsel to supply chain leadership and ensures high-quality customer service is provided to internal and external stakeholders.
• Evaluates and implements best-in-class analytics functionality to ensure Advocate Health is using leading edge analytics tools and capabilities.
• Manages relationships with third party software vendors and leads new application implementations.
• Defines and implements data management practices and standards to ensure reporting tools are accurate, complete, secure, and reliable.
• Develops and maintains a fundamental understanding of how clinical workflows and other business functions impact supply chain strategy.

Manager, Supply Chain Analytics

Translator

• Proactively responds to requests for language access in a healthcare setting.
• This includes but is not limited to: In-person interpreting, telephone interpreting, video interpreting, basic translation.
• Leverages the use of technology, as needed, to deliver services in a variety of different modalities.
• Troubleshoots basic application issues with software and customer as needed.
• Maintains relationships with internal customers and makes key decisions regarding appropriate interpreter modalities.
• Strives to contain costs at all times and leverages vendor relationships as needed.
• Interprets information regarding the patient\'s and family\'s healthcare needs.
• Scenarios may include patient education, appointments, discharge instructions, procedures, emergency encounters, assessments, etc.
• Serves as a conduit to interpret as accurately and concisely as possible while considering cultural implications and idiomatic language differences.
• Acts as a cultural broker by educating caregivers on the understanding of patient\'s culture in relationship to healthcare.
• Fully abides by the healthcare system\'s professional conduct standards, executes job duties in an ethical manner, and follows national practice standards
• Translates basic written information as needed and within department guidelines.
• Serves as a cultural mediator and educate customers appropriately.
• Physical Requirements Walk requires walking, standing, sitting, lifting, and reaching. Must lift a minimum of 10 pounds to shoulder height. Must speak English and foreign language in simple, understandable terms, and have an intact sense of sight and hearing. Must be mobile throughout entire healthcare system. Must be able to deliver language access via in-person, telephone and video remote modalities

PRN Spanish Healthcare Interpreter

Director

• Planning, development, implementation, and operation of applications within application scope including documenting and evaluating current systems, recommending and justifying improved systems, contributing to priorities for system implementation, staffing resources, and developing the conceptual design for each improved application.
• Ensures that applications are designed and interfaced in a manner, which satisfies the users of the systems, and that all information is maintained, accessible, and integrated to satisfy both providers and users.
• Is the primary contact for operational leadership in the corresponding application area.
• Responsible for executing and providing the results and conclusions of all phases of system applications, as defined by the long-range systems plan and the conceptual design, are accomplished according to established time frames.
• Communicates accordingly with various users, committees, and affiliates related to system plans, designs, and project status.
• Consults with users to identity, evaluate and formulate strategies to deal with opportunities for improvement in applications.
• Manages and provides support for changes/enhancements ensuring proper analysis, testing, change management and user input processes are followed.
• Assists with the management of hardware, software and/or consultant contracts and service agreements.
• Establishes and maintains vendor relationships.
• Oversees the development, execution, administration, and evaluation of information systems processes and mechanisms to support the mission, vision, values, and strategic initiatives.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business.

Workforce Management Application Director

• Manages significant TA initiatives and programs across the region and Enterprise which impacts candidates, hiring leaders and teammates.
• Challenges current programs and processes, designing and implementing innovative and inspiring programs inspiring TA solutions to enhance leadership, candidate and recruiter experiences and processes.
• Responsible for program management (including marketing, facilitation resources, program budget) to support strategic talent acquisition priorities such as data management, technology, training, vendors, affiliations, recruitment marketing, etc.
• Organizes and leads cross functional operational teams to realize program objectives.
• Researches external best practices through community portals, evaluating standards, and determining comprehensive solutions that are consistent with state and federal regulations and requirements.
• Communicates ongoing project status, potential issues and timeline with TA Leadership teams and stakeholders.
• Plans, organizes and manages all aspects of assigned retrospective, outcome and prospective programs and initiatives.
• Responsible for managing vendor relationships including leveraging expertise to influence decisions, determining agreements and challenging the status quo.
• Evaluates the effectiveness of talent acquisition strategies/programs/solutions, assesses the impact on the business, and utilizes this information in order to make decisions (i.e.; improvements, modifications, etc.).

TA Program Manager, Non-Traditional Pipelines

Collections

• Responsible for continued follow-up on all assigned accounts in order to obtain high cash flow until the account is either paid/resolved, the work standard complete and the account can be referred to a collection agency or is deemed uncollectable.
• Contacts patients, employer, insurance companies and government agencies either by telephone or mail in order to expedite payment.
• Establishes effective working relationship with patients, collection agencies, vendors and internal departments to effectively resolve account issues.
• Handles patient, internal department, third party agency, vendor requests/inquiries and complaints in regards to bad debt collection process.
• Resolves patient complaints concerning billing and collection functions using good human relations skills and sound credit procedures.
• Interprets insurance verification, billing, follow-up, collection and legal information provided for each patient account to accurately resolve patient questions and account issues.
• Effectively documents all accounts in regard to why the account has been opened, process documentation and actions taken to resolve outstanding issues.
• Handles the accounting of settlement offers, vendor remits, and cash posting issues related to bad debt accounts.
• Responsible for learning, understanding, and performing actions in all patient billing systems, both past and present, to assure proper handling of all bad debt accounts.
• Maintains the lowest possible ratio of bad debt expense write-off by employing good collection methods.
• Maintains and reconciles records of placements to third party agencies.
• Reconciles differences between bad debt balances and third party records.
• Watches for trends in agency or patient billing issues and alerts management.

Collections Representative

• Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
• Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Quality, and Clinical Informatics—to identify improvement opportunities and advance documentation practices.
• Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
• Review clinical documentation and diagnostic results to ensure accurate assignment of ICD-10-CM/PCS and CPT/HCPCS codes in alignment with organizational initiatives.
• Query providers when documentation is unclear, following established policies to ensure coding accuracy and compliance.
• Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding.
• Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows.
• Maintain confidentiality of patient records and report any non-compliant practices to appropriate leadership or compliance officers.
• Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
• Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

Clinician Services Analyst Senior - Medical Specialties

Recruitment

• Determine strategy to optimize and drive a best-in-class candidate experience for all current and future pipeline needs.
• Effectively sets the tone for the division and builds strategies to achieve operational outcomes.
• Optimizes the sourcing strategy to meet current talent needs and future business growth.
• Enhances brand awareness through local and regional recruitment marketing and sourcing strategies.
• Leads and inspires team through implementation of innovative and creative methods to help drive an exceptional candidate experience, increased pipelines, tech-enabled solutions while ensuring efficient and cost-effective operations.
• Works closely with Operational Leaders and senior HR partners throughout the system to support retention, growth, mergers & acquisitions, and financial efficiency.
• Partners with Workforce Development, Talent Management, Total Rewards, and HR to enhance, align and integrate teammate experiences.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
• Licensure, Registration, and/or Certification Required: None
• Physical Requirements and Working Conditions: This position requires travel, therefore, will be exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to a normal office environment.