Center for Health Care Strategies

Director

• Directly manages well-being and wellness managers
• Maintains an understanding of the vision, objectives, and priorities of the Center for Associate Well-being
• Manages the strategic planning process
• Develops and administers project budgets
• Participates in identifying funding sources
• Prepares communication documents for articles, reports, and presentations
• Represents and promotes projects at speaking engagements
• Conducts research, analyzes data and identifies trends
• Ensures alignment of programs focusing on well-being
• Provides timely reports to the Chief of Well-Being Officer
• Serves as a liaison with other departments
• May hire, supervise and evaluate staff
• Partners with the well-being team in identifying and evaluating environmental risk factors for burnout
• Provides education and well-being programming for associates
• Collaborates with multidisciplinary teams

Director, Center for Associate Well-being

Accountant

• Maintain fixed assets - clearing account for all lines of business.
• Ensure adherence to capitalization policies & procedures; prepare all correcting journal entries related to capital and properly classify transactions as assets or expenses.
• Prepare an accurate and timely close of the Fixed Assets (FA) Module in Harmony each month.
• Reconcile fixed assets and accumulated depreciation accounts, including Asset Clearing, for every operating division each month.
• Assist with reconciliation of WIP accounts for every operating division each month.
• Assist with depreciation variance explanations.
• Provide information to and work directly with external auditors during interim and year-end audit.

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. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
• 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).
• Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)

Facility ED Coder

• 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. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
• 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).
• Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)

Outpatient Surgical and Observation Coder

Solutions Engineer

• Responsible for the analysis, design, development, testing, deployment, monitoring, and ongoing support of Oracle Fusion interfaces and related integration solutions across both business and clinical systems.
• Lead the resolution of complex technical issues through advanced debugging, research, and investigation.
• Support nearly 300 integrations across Fusion HCM, Financials, SCM, and PPM.
• Play a critical role in supporting HCM benefits administration, Financials period close activities, and timely issue resolution.
• Understand Nemours’ custom solutions designed to meet complex business requirements and act as the technical lead for troubleshooting and resolving complex integration issues.

Senior Integration Solutions Engineer

Analyst

• Work accounts until all charges are paid or denied by the insurance carrier.
• Understand and apply principles of reimbursement to all aspects of the revenue cycle.
• Account for high dollar balances and keep abreast of insurance trends.
• Pursue payment from payors related to both denials and underpayment.
• Accurately enter patient demographics and coverage information into Epic system.
• Apply problem solving skills to resolve discrepancies.
• Work jointly with all departments along the revenue cycle to resolve issues.
• Keep abreast of all insurance and system changes.
• Apply balance adjustments as appropriate and accurately bill the guarantor.

Senior Medical Reimbursement Analyst

• The Leave of Absence (LOA) Analysis is a subject matter expert who provides support for internal and external partners on leave of absence and accommodation processes.
• Resolve escalated leave situations and lead the interactive process to find reasonable accommodations under the ADA or other applicable laws.
• Lead return to work efforts to get associates back to work at the earliest appropriate time consistent with an individual's strengths, abilities, capabilities, and limitations.
• Serve as a liaison with the third-party leave administrator and Occupational Health and Safety Officer to coordinate work accommodations for workers compensation cases.
• Run reports and provide insights throughout data analytics, ensuring accurate and timely reporting to support business decisions.
• Maintain and update the Nemours SharePoint site with all applicable leave of absence information.

Leave of Absence Analyst

Learning and Development

• Independently analyzing learning needs and designing, developing, and delivering effective learning experiences
• Deliver instruction to individuals and groups in a variety of formats
• Perform all facets of instructional design process—analysis, design, development, implementation, and evaluation
• Maintain records of instructional development and training activities
• Participate as SME and primary writer in projects for software applications
• Manage designated projects, review deliverables, and communicate with project team
• Act as a consultant to clients seeking learning solutions and recommend appropriate educational strategies
• Maintain application certification(s) to provide support to internal technical analysts and end users
• Support and respond to questions regarding learning systems and tools

Instructional Designer II

Project Manager

• Assist with scheduling meetings, preparing agendas, documenting and sending meeting minutes.
• Coordinate logistics for stakeholder meetings, community events, training sessions and projects.
• Maintain organized records of program activities, communications, and deliverables.
• Assist in preparing materials and presentations for stakeholder meetings, community outreach, reports and grant applications.
• Data input and tracking of program operations and timelines.
• Cultivate and sustain strong, trust‑based relationships with community members, local organizations, and key stakeholders to advance the initiative’s goals.
• Serve as additional point of contact between Nemours and the community, ensuring open, consistent, and culturally responsive communication.
• Support professional communication with pediatric clinicians, educators, and community partners.
• Gather stories, testimonials, and data from community partners to highlight success and amplify community voice.
• Manage partner monthly newsletter and communications.
• Design and produce newsletters and promotional materials using the Canva platform.
• Assist in maintaining contact lists and tracking engagement activities.
• Participate in community and partner events by assisting with planning, logistics, and operations.
• Provide on-site support for partnering with early learning centers and community partners.
• Create and publish LinkedIn and other social media content to elevate program visibility and engagement.
• Help collect and enter data related to program KPIs.
• Assist in preparing reports and summaries for internal and external stakeholders.
• Support quality improvement efforts by organizing feedback and evaluation data.
• Track expenses and assistance with budget documentation and reporting.
• Help prepare materials for funding reports.