Center for Health Care Strategies

Director

• Provide strategic leadership and direction to the Data Engineering and Data Insights teams, fostering a culture of innovation and collaboration.
• Collaborate with business units to identify data needs, prioritize projects, and align analytics initiatives with organizational goals.
• Design, implement, and manage robust data pipelines, ensuring high-quality, reliable, and scalable data solutions across Qlik, Microsoft Fabric, Power BI, and SQL environments.
• Lead teams in the development, deployment, and maintenance of reporting and analytics solutions, ensuring compliance with data governance, quality and security standards.
• Develop and oversee reporting frameworks that deliver meaningful business insights to stakeholders, enabling data-driven decision making.
• Mentor and develop team members, promoting continuous learning and professional growth within the analytics function.
• Drive continuous improvement initiatives, leveraging data analytics to optimize workflows, improve operational efficiencies and enhance patient care outcomes.
• Oversee vendor relationships, contract negotiations, and system upgrades for analytics platforms.

Director of Analytics

Compliance

• Conduct regular assessments through audits (formal and informal) mock tracers and mock surveys.
• Manage aspects of investigations, inspections and surveys conducted by regulatory and accrediting agencies; prepare for and facilitate regulatory visits.
• Create a culture of regulatory readiness through continual proactive measures.
• Coordinates verbal and written communication with The Joint Commission (TJC) and other regulatory bodies.
• Works closely with medical staff, nursing/hospital staff, and department directors and managers.
• Coordinates and participates in the execution of educational activities and the development of educational materials.
• Supports the Manager in managing regulatory and accreditation compliance initiatives.
• Ensures TJC and other regulatory compliance by advising departments.

Regulatory Affairs Specialist

Counselor

• Responsible for providing current and accurate information regarding genetic testing, informed consent, results interpretation, and recommendations.
• May participate fully in the clinical genetics evaluation and documentation of physical exam under the supervision of the clinical geneticist in outpatient and inpatient settings.
• Provides clinical care to patients especially with regard to obtaining complete histories, reviewing past medical records, preparing cases, family history assessment, and coordination of diagnostic testing and follow up for individuals referred for genetic indications within Behavior Health.
• Provides appropriate risk assessment, genetic counseling, and resource identification based on family history and genetic testing/evaluation and coordinates necessary evaluations, diagnostic tests, and referrals to other specialists.
• Follow up with patients as necessary regarding the disclosure and clear explanation of test results, recommendations, and psychosocial support in person, by phone, or via electronic communication.
• Communicate with appropriate medical staff for purposes of consultation, referral, and coordination of patient care.
• Assure complete and accurate documentation related to genetic information and genetic counseling in the medical record.
• Maintain up to date knowledge regarding clinical genetics by attending educational and scientific conferences and participation in continuing education regularly.
• May participate in teaching and supervision of genetic counseling master program students.

Genetics Counselor

Analyst

• Provide continuous performance improvement support to PFS by functioning as an analyst, facilitator, trainer, auditor, consultant and/or project manager as required.
• Assists in the development and refinement of training programs and materials, including standard work.
• Serve as an educational resource, facilitate operational courses, publish newsletters and maintain training records for all courses and e-learnings conducted.
• Schedule and coordinate classes and workshops, including those owned by other members in the organization.
• Generate weekly and monthly reports for accuracy, score cards and/or auditing.
• Perform audits and analyze trends for work focus training, gaps, or compliance of processes.
• Provide constructive feedback to frontline associates to improve performance.
• Conduct site visits to monitor adherence to standards and provide on-going support, including training.
• Develop, contribute, and update policies and procedures.
• Participate in committees or enterprise-wide task forces related to the Revenue Cycle.
• Use knowledge of waste elimination tools and techniques to identify operational opportunities and educate, for example researching, correcting, and analyzing coverage errors.
• Provide timely and pertinent information to associates about regulatory requirements.
• Serve as a resource to frontline associates by providing additional support via the department’s centralized inbox.

Performance Analyst – Educator

Clinical Research

• Interact independently with the NASOC in interactions with clinical investigators and other scientists
• Perform power and sample size calculations, generate randomization lists and write statistical methodology section
• Perform complex data manipulation and assist investigators in setting up data for analyses
• Carry out statistical analyses and present results to investigators
• Assist in maintenance of statistical software and systems used by the NASOC
• Write scripts, programs, and SQL queries to assist in data processing
• Author statistical section of research proposals and manuscripts

Biostatistician – Research

Customer Support

• Answer incoming calls from guarantors and insurance companies in a high pressure call center
• Research and resolve issues for guarantors, insurance companies and our internal customers.
• Perform necessary account maintenance functions, verify demographics, update guarantor information and fulfill the customer or insurance companies requests.
• Verify and process insurance coverage information, perform insurance adjustments and/or change the insurance filing order as needed.
• Review and analyze balances (credit or debit) to determine if the guarantor or insurance owes additional money or if a refund is due.
• Establish payment plans, set-up recurring payments and transfer guarantor funds as needed to clear any outstanding guarantor balances. Troubleshoot issues with the online payment portal for guarantors.
• If resolution is not possible by the Customer Service Representative, the issue will be escalated as appropriate.
• Perform annual required system upgrade and computer based training

Customer Services Representative

Operations

• Serve as a primary point of coordination for executive engagement requests, supporting structured intake, prioritization, and documentation.
• Track engagement requests, timelines, approvals, deliverables, and follow-up actions to ensure commitments are met and expectations are clear.
• Support scheduling coordination in partnership with executive scheduling resources, while maintaining awareness of competing priorities and sensitivities.
• Ensure alignment between engagement purpose, audience, logistics, and desired outcomes.
• Develop comprehensive, concise, and well-organized executive briefing documents to support leadership success before meetings, events, and speaking engagements.
• Gather and synthesize information from multiple sources—including internal partners, subject-matter experts, and background materials—into clear, actionable briefings.
• Ensure briefing materials reflect appropriate context, key objectives, relevant background, stakeholder profiles, talking points, and logistical details.
• Maintain high standards for accuracy, clarity, tone, and confidentiality in all materials.
• Maintain systems and tools to track engagement activity, requests, and outcomes over time.
• Support timely follow-up after engagements, including documentation of outcomes, next steps, and relationship considerations.
• Identify opportunities to improve processes, templates, and workflows that support executive engagement operations.
• Work collaboratively with colleagues across the Office of the President, Marketing/Communications, Institutional Advancement, Strategy, and other partners.
• Represent the Office of the President with professionalism, discretion, and a service-oriented mindset.
• Exercise sound judgment when handling sensitive information, confidential materials, and executive communications.

Executive Engagement Operations Specialist

Manager

• Oversee the day-to-day operations of Oracle ERP systems related to Human Capital Management (HCM), ensuring system availability, data integrity and security.
• Ensure seamless integration between Oracle Cloud Fusion HCM applications and other relevant systems.
• Oversee the deployment of new features and system upgrades, particularly those related to talent acquisition, core human resources, and compensation, ensuring timely and precise execution.
• Recruit, select, and retain personnel.
• Perform associate evaluations, prepare individual professional development plans, and work with HR to deliver disciplinary actions and associate recognition.
• Lead efforts to identify, analyze, and resolve issues related to Oracle Cloud HCM systems, ensuring minimal disruption to business operations.
• Identify opportunities for process improvements and system enhancements to increase efficiency and effectiveness.
• Liaise with HR, finance, and other departments to comprehend their payroll requirements and ensure the ERP system fulfills those needs.
• Ensure accurate and comprehensive documentation of processes, configurations, and updates to maintain a reliable reference for testing and process audits.
• Continuously evaluate and enhance the functionality of Oracle Fusion cloud applications and related systems to ensure alignment with business needs and industry best practices.
• Develop and generate reports for management and stakeholders to provide insights into application performance, system issues and project status.
• Ensure all system implementation or upgrade activities are delivered in accordance with healthcare regulations, data security standards, and organizational policies.
• Remain current on industry trends and system functionality by reading industry publications, attending relevant conferences and seminars, and engaging with professional networks and communities.
• Act as the escalation point for after-hours support, addressing critical issues that arise outside regular business hours to ensure uninterrupted payroll system functionality.

Manager, ERP Applications

Data Analyst

• Partner with clinical, operational, and enterprise stakeholders to identify benchmarks, interpret performance, and guide improvement efforts.
• Analyze and translate complex data to support strategic and organizational decision‑making.
• Build and maintain dashboards, reports, and analytic tools across EPIC, Qlik Sense, and Excel.
• Maintain timely external state data integration (AHCA, PHC4, etc.).
• Ensure data integrity through testing, documentation, and quality assurance activities.
• Serve as a data standards liaison and provide training to stakeholders.
• Support enterprise strategy and market positioning with internal and external environmental analyses.
• Deliver ad‑hoc analytics to meet evolving organizational needs.
• Support patient care and operational needs by assisting with data analyses and generating accurate reports using Microsoft Excel and other analytic tools; prior Qlik Sense, Intermediate Excel and EPIC knowledge preferred.
• Use geospatial analysis tools (ESRI ArcGIS) to create clear, compelling visualizations for leadership presentations.
• Help educate and inform stakeholders by explaining report contents, metric definitions, and data updates to leaders and data owners.
• Support project reporting activities by compiling weekly and monthly updates, documenting progress, identifying issues, and communicating follow‑up needs to project teams.
• Build effective working relationships with colleagues across clinical, operational, and enterprise areas to understand data needs and ensure accurate information flow.
• Maintain data accuracy and integrity by conducting routine validation, testing, and documentation of analysis and reporting outputs.
• Communicate clearly and professionally to translate data findings into simple, understandable insights for various audiences.

Strategy & Data Insights Analyst II

Medical Billing and Coding

• Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
• Meets minimum requirements for production and quality monthly.
• Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
• Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
• Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
• Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-clear, or un-substantiated care rendered.
• Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
• Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).

Inpatient Coder

• Perform additional duties and responsibilities as assigned by the associate’s supervisor.
• Problem Resolution: Partner with associates, vendors, and internal stakeholders to research, troubleshoot, and resolve complex benefit-related issues, including appeals and escalations.
• Benefit Plan & Policy Interpretation: Serve as a trusted resource for associates, HR team members, managers, and cross-functional partners regarding benefit plans, policies, and procedures.
• Compliance & Governance: Support regulatory compliance by ensuring benefit administration aligns with plan documents, internal policies, and federal and state regulations; assist with audits, filings, and documentation as needed.
• Annual Benefit Processes: Lead or support annual activities such as open enrollment, non-discrimination testing, Form 5500 filings, required compliance notices, and updates to benefit communications and plan materials.
• Ongoing Plan Administration: Execute and manage day-to-day operational processes related to the administration of health and welfare plans, PTO programs, tuition reimbursement, and related benefits.
• Associate Communications: Assist in the development and delivery of benefit education and communication strategies, including new associate orientation, web content maintenance, and targeted outreach initiatives.
• Reporting, Analysis & Reconciliation: Prepare and maintain reports; conduct data audits and analysis; reconcile eligibility, payroll, vendor billing, and contribution discrepancies; and process invoices in support of benefit plans.
• Vendor Management: Collaborate with external vendors and third-party administrators to address service issues, enhance processes, and improve associate experience.
• Implementation & Change Management: Support the Sr. Director of Benefits & LOA with the implementation of new or revised benefit plans, systems, vendors, processes, and acquisitions.

Benefits Analyst

Recruitment

• Responsible for full cycle recruitment, including development of recruitment strategies in collaboration with physician leadership.
• Position posting, candidate management, interviewing, and reporting, with the goal of successfully recruiting the highest quality physician and provider staff.
• Job duties also include Advanced Practice Provider recruitment.

Physician Recruiter

• Provides strategic and operational leadership for Hematologic and Oncologic services in Central Florida.
• Ensures high-quality, equitable care aligned with Nemours’ mission.
• Oversees the management of service delivery, compliance, innovation, integration, and consistency of services across inpatient, ambulatory, and infusion services.
• Establishes and manages a cohesive administrative and operational infrastructure for the cross-disciplinary service line.
• Develops and implements business plans to support the growth and financial success of the service line and specific service line initiatives.
• Identifies opportunities to improve the patient and family service experience and assures patient and associate safety.
• Establishes collaborative relationships with various departments and leaders in Central Florida and across the Nemours Foundation.

Administrative Director, Service Line – Hematology Oncology

• Develop and steward the enterprise benefits and leave strategy, ensuring alignment with Nemours workforce, financial, and clinical operations strategies.
• Lead multiyear strategic planning, forecasting, and scenario modeling for benefits and leave programs.
• Establish and maintain systemwide governance frameworks, policies, and controls that drive consistency, compliance, and risk mitigation across all states and business units.
• Assess market competitiveness and model long-range financial impacts to inform executive decision-making.
• Provide strategic recommendations and insights to the various enterprise-wide stakeholder leaders on plan design, emerging risks, cost drivers, and workforce implications.
• Serve as the organizational liaison to external consultants, advisors, and vendor partners for benefits, leave, compliance, and actuarial strategy.
• Lead enterprise financial planning for benefits and leave: trend analysis, reserve forecasting, risk modeling, cost containment strategies, and ROI evaluation.
• Drive multivendor optimization strategies that reduce cost, enhance service, and improve associate experience.
• Oversee enterprise compliance with federal and state regulations (ERISA, FMLA, ADA, ACA, HIPAA, state leave laws, PFML programs, etc.).
• Anticipate future legislation and proactively design scalable strategies to minimize organizational risk and operational disruption.
• Partner with Legal, Compliance, and HR Operations to ensure audit readiness and documentation excellence.
• Lead enterprise transformation of benefits and leave operations, including digital modernization, workflow automation, AI/analytics enablement, and experience redesign.
• Drive continuous improvement using data insights, benchmarking, and service level performance management.
• Architect tools, job aids, and standardized processes for HRBPs, managers, and associates.
• Oversee the enterprise vendor ecosystem, including medical, pharmacy, dental, disability, LOA partners, stoploss, actuarial advisers, wellness, navigation, and communication vendors.
• Lead high-stake vendor negotiations and RFPs that materially impact enterprise cost, service quality, and risk posture.
• Ensure vendors meet contractual SLAs, performance guarantees, and compliance standards.
• Lead enterprise communication strategy for benefits and leave, ensuring clarity, transparency, and accessibility for all associates across diverse roles, states, and work environments.
• Partner with Communications to develop compelling, multichannel content that enhances understanding and engagement.
• Act as an enterprise leader for largescale change initiatives affecting benefits or leave programs.
• Lead, develop, and mentor a multistate team of benefits and leave professionals, building future bench strength and fostering a culture of accountability, innovation, and service excellence.
• Model and reinforce Nemours values while promoting inclusion, belonging, and psychological safety.

Senior Director, Benefits and Leave of Absence

Learning and Development

• planning, designing, developing, and conducting training and educational programs for Nemours Associates.
• Provide instructional design expertise for the development and support of learning modules delivered in a variety of formats including in-class instruction and on-line delivery.
• perform all facets of instructional design; including performance and training needs analyses, design and development of educational modules, and evaluation of new and existing resources.
• consult with departments about training needs and strategies, providing recommendations for appropriate delivery method(s) of education and acting as a subject matter expert
• Deliver instruction to individuals and groups in a variety of formats.
• Maintain records of instructional development and training activities e.g., assessment grades, evaluations, metrics, templates, tracking systems, and file archival.
• Support and respond to questions regarding learning systems and tools, such as the LMS, and other application-specific issues.