Boston Medical Center (BMC)

Pharmacist

• Ensure successful onboarding of new employees in Outpatient Pharmacy workflow operations
• Create a supportive onboarding experience for new hires
• Monitor new hires progress and communicate with managers
• Conduct training and development for Pharmacy Technician Training Program
• Assist in the creation of e-learning modules and collateral learning documents

Training and Development Specialist – Pharmacy

Administration

• Responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review
• Validate the patient’s placement to the most appropriate level of care
• Use medical necessity screening tools to complete reviews
• Secure authorization for clinical services through timely collaboration with payers
• Follow the UR process, pre-denial and denial/appeal process
• Assess, plan, coordinate, and evaluate initial and ongoing denials
• Communicate with multiple members of the clinical team in clear concise language
• Identify trends and recommend changes to reduce denials

Denials & Appeals RN Administrator

Research Scientist

• Assists with data collection by conducting clinical interviews and administering surveys
• Participant scheduling and correspondence
• Reviewing recorded clinical interviews
• Attending team meetings
• Recruitment of individuals with PTSD
• Data collection through interviews, surveys, and electronic medical record data extraction
• Coordination of study visits and meetings associated with conduct of a clinical trial study
• Collaborate with a multidisciplinary team across primary care and psychiatry

Research Assistant, Psychiatry – Per Diem

Affiliate Manager

• Provide analytical support to resolve various high exposure operating and finance issues across all areas of BOSTON Medical Center and Boston University Medical Group (BUMG).
• Monitors regulatory changes and payer requirements for coding and billing and applies this knowledge appropriately in collaboration with appropriate teams.
• Lead large projects and conduct detailed assessments to resolve problems identified by the Senior Manager, Sr. Director and VP.
• The Revenue Cycle Business Partner II is responsible for identifying and implementing corrective action plans for processes and systems that leads to lost revenue opportunities and reduced reimbursement for the care provided to patients.
• Acts as a liaison between all Revenue Cycle billing office, third party billing vendor and revenue generating departments and provides advanced analytical support, lead large complex projects and develop detailed resolution plans.

Revenue Cycle Business Partner II

Risk

• Lead the establishment and ongoing stewardship of Health System-wide research governance frameworks in partnership with CSO, IRB, Compliance, Privacy, and Legal to ensure regulatory alignment, clarify organizational responsibilities, and mitigate institutional risk related to human subjects research and data use.
• Translate health system research strategy into institutional programs, governance structures, policies, and operational processes across the Research Enterprise.
• Provide upstream guidance on feasibility, compliance, and data use considerations for research proposals, initiatives, and institutional priorities.
• Develop and implement Health System dissemination strategies related to regulatory requirements, institutional policies, and processes.
• Oversee CSO and RSP project management resources, including establishing standard operating procedures, tools, and resource deployment to prioritize and execute cross-functional research initiatives.
• Lead strategy and alignment of research core facilities to ensure cohesive user experience, standardized processes, and coordinated operations.
• Establish and oversee a centralized project management function (PMO Partner with leadership to operationalize strategic priorities through scalable systems, governance structures, and cross-functional coordination.
• Convene and lead cross-functional stakeholders to align on policies, workflows, and operational standards across research administration, compliance, and data teams.
• Identify opportunities to strengthen institutional research capabilities, improve governance alignment, and enhance coordination across the research enterprise.
• Prepare strategic analyses, recommendations, and executive-level briefings for CSO and senior leadership regarding research initiatives, operational performance, regulatory considerations, and emerging institutional risks and opportunities.

Director, Research Governance and Transformation

Business Analyst

• Monitor KPIs across assigned business line to identify trends, anomalies, and performance gaps
• Conduct root cause analysis and develop hypotheses on drivers of performance change
• Proactively surface insights to service line leaders — not waiting to be asked
• Build and maintain Tableau dashboards that translate warehouse data into operationally actionable views
• Pull and structure data from the enterprise data warehouse using existing tables and views
• Develop executive-facing slides and briefs that tell a clear, concise performance story
• Serve as an embedded analytical resource for assigned service line leaders
• Translate business questions into analytical frameworks; translate findings back into business language
• Support planning cycles, operational reviews, and ad hoc strategic requests from leadership
• Collaborate with counterparts to align methodology, definitions, and reporting standards

Senior Pharmacy Business Analyst

Director

• Define and evolve the enterprise research strategy across the Health System, including clinical trials growth, research portfolio optimization, and financial performance improvement.
• Identify and prioritize strategic opportunities aligned with institutional goals and market positioning on an ongoing basis.
• Develop enterprise-level strategic roadmaps and actionable options for senior leadership consideration.
• Lead the development of business cases, strategic options, and investment frameworks to inform executive decision-making.
• Serve as a strategic advisor to the Chief Scientific Officer, Executive Director, and senior leadership on high-impact initiatives.
• Translate complex institutional questions into clear, decision-oriented recommendations.
• Conduct structured analyses of research operations, funding trends, financial performance, and governance models to inform strategic decisions.
• Synthesize complex datasets and stakeholder inputs into clear, actionable insights and implications.
• Identify and evaluate risks, trade-offs, and opportunities across the research enterprise.
• Lead the development of executive-level presentations and materials for the Chief Scientific Officer, Senior Leadership Committee (SLC), and other governance forums.
• Translate complex and ambiguous topics into clear, concise, and compelling strategic narratives for executive audiences.
• Ensure consistency, accuracy, and clarity of messaging across all research strategy communications.
• Lead structured problem-solving sessions and stakeholder engagements across research administration, clinical operations, compliance, finance, and academic departments.
• Align diverse stakeholder perspectives into cohesive, enterprise-level strategic recommendations.
• Navigate highly matrixed and ambiguous environments to drive alignment without direct authority.
• Partner with the Director of Research Governance & Transformation to ensure strategies are positioned for effective execution.
• Provide strategic clarity, prioritization, and framing for initiatives transitioning into execution phases.
• Maintain clear separation between strategy ownership and execution accountability across initiatives.

Director, System Research Planning & Performance

Operations

• Under the direction of the Cash Processing Manager and Director of Middle Revenue Cycle, responsible for maintaining the integrity of cash for both Boston Medical Center (BMC) and Boston University Medical Group (BUMG).
• Ensure maximum efficiency and accuracy of accounts receivable balances through payment posting and credit and refunds oversight.
• Monitor, work and assess various workqueues within the Electronic Health Record (EHR) system and work with IT to improve system workflow based on trends and patterns identified.
• Develop policies and procedures, as well as supporting the business operations for assigned functions within the Revenue Cycle Operations team.
• Provide support to all revenue generating departments on cash related issues in collaboration with departmental stakeholders, Revenue Cycle teams and Finance.
• Perform month end tasks including, but not limited to, reconciliation, resolving issues, monitoring and clearing workqueues, and payment posting.
• Partner with management by raising issues, understanding root cause and offering potential solutions.
• Serves as a cash processing subject matter expert to internal and external team members.
• Develop work plans and lead project timelines for small initiatives to complete assigned projects in the most timely and efficient manner possible.
• Collaborate effectively with diverse groups of people and various service departments throughout the organization.

Revenue Cycle Operations Analyst

Medical Billing and Coding

• Conduct CPT and ICD-10 coding reviews by detailed examination of physician medical record
• Perform chart audits to ensure correct coding and charge capture
• Work closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers
• Review patient medical records and abstract medical data that identifies all diagnoses and procedures
• Code diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems
• Consult with the CDCI team to clarify medical record information
• Maintain productivity standards set forth in Departmental Policies and procedures
• Maintain knowledge of coding and professional skills through continuing education

Physician Practice Coder

• Contributes to and implements the vision for nursing practice through the delivery of safe, timely, efficient, equitable and patient-centered care
• Develops and implements strategies to improve the nurse practice environment and the patient experience of care
• Monitors and drives improvement in nurse-sensitive metrics
• Builds a culture of service and utilizes succession planning and mentorship to create and develop leaders and staff
• Focuses on employee satisfaction and aligns behaviors with strategic goals and values
• Communicates on all levels and recognizes and rewards success
• Maintains knowledge of regulatory and accreditation standards and ensures compliance
• Promotes integration of evidence-based research into practice at the unit level
• Sets priorities for appropriate and efficient management of patient care
• Collaborates with the interprofessional team to develop, revise and update clinical priorities and care management plans
• Evaluates probationary employees’ work performance and recommends employment continuation or discharge

Nurse Director, Endoscopy and Radiology

Manager

• Leading the strategic optimization, financial performance, and operational execution of the health system’s 340B program
• Developing and executing a system-wide 340B optimization strategy
• Owning performance tracking of the 340B program
• Overseeing operational processes supporting 340B
• Evaluating and optimizing contract pharmacy network performance
• Partnering closely with compliance leaders to ensure adherence to HRSA requirements
• Collaborating with pharmacy operations, finance, compliance, and IT

Senior Manager, 340B Optimization

• Provide integrated support to patients and pharmacists
• Managing and growing patient account base
• Develop and grow trusting relationships with providers and hospital staff
• Navigate patient Electronic Medical Record (EMR)
• Resolve high level patient care issues
• Provide outbound therapy/medication adherence check-ups
• Building relationships with patients
• Train and support new staff

Pharmacy Patient Liaison, Specialty Pharmacy

• Assign appropriate codes to reflect all diagnoses and procedures extrapolated from physician documentation
• Abstract required data to input into the Medical Center's computerized database
• Converts patient visits into appropriate DRG assignments
• Review patient medical records and abstract medical data
• Code diagnoses, procedures, and appropriate modifiers
• Assign grouper codes to each record
• Enters coded/abstracted information in grouper
• Maintain accuracy rate of 95% or better
• Maintain productivity standards
• Assist in training new personnel in department coding procedures

HIM Coder

• Manage and grow patient account base by recruitment and retention of specialty pharmacy services
• Develop trusting relationships with providers and hospital staff
• Provide a full continuum of medication adherence support
• Coordinate care across patient health care needs
• Research needed information to provide comprehensive care using available resources
• Communicate with providers and stakeholders in a timely and professional manner
• Advocate for patients towards achieving health goals
• Conduct interpersonal communications with patients and team members in a courteous manner
• Participate in departmental and organizational committees as assigned

Pharmacy Medication Access Coordinator – Specialty Pharmacy

Counselor

• The Genetic Counseling Assistant supports the BUMC genetics team with referral triage, operational workflow, documentation preservation, patient care coordination, variant database management, administrative meeting support, and assistance in genetic testing coordination
• The GCA is responsible for supporting the clinical genetics team (physicians and genetic counselors) across Boston University Medical Campus for all patients and families receiving genetic services and molecular testing
• The GCA will work closely with the genetics medical director, who partners with the lead genetic counselor, to provide administrative support of diverse aspects of the genetics service
• Such responsibilities may include administrative functions, including triaging incoming cases to appropriate divisions, optimization of operational workflows
• The GCA will oversee a database of variants of uncertain significance for genetic testing across the institution, triaging reports to appropriate divisions and verifying critical notifications
• The GCA will attend Medical Genetics Oversight and Genetic Testing Workgroup meetings to provide administrative support
• Other activities may include assisting with the creation of educational and promotional materials for medical staff and patients, participating in performance/quality improvement projects, tracking the status of genetic testing, and other duties as assigned.