Prisma Health

Software Engineer

• Leads and provides technical expertise in the design, development, testing, documentation, maintenance of Epic reporting and analytics solutions.
• Utilizes reporting tools including but not limited to Clarity and Caboodle reports, extract framework, metrics, benchmarking, Radar, Reporting Workbench, and Slicer Dicer.
• Responsible for the design/development/creation of custom code and stored procedures to package for processing using SSIS.
• May also assist in the generation of XML files in QRDA format for electronic submission of quality measures data.
• Requires a strong technical background including multiple technical disciplines and expertise in healthcare analytics development.
• Requires mentorship/guidance to less experienced team members and serves as a subject matter expert for all Epic/Cogito applications.
• Utilizes knowledge in SQL, Reporting Workbench, Slicer Dicer, and other reporting technologies to design and troubleshoot both custom and foundation reports that fulfill business requirements.
• Performs testing of report/dashboard configurations and builds in appropriate non-production environments, to identify defects and create resolution plans accordingly.
• Creates and maintains documentation for change management.
• Follows specifications to develop reports within the Epic framework, ensuring high quality reporting is delivered to the end user's needs.
• Collects information on potential report enhancements and functionality needs, preparing detailed specifications as required.
• Works cohesively with stakeholders to provide system support including analysis, build, and testing of requested changes, and analysis of new Cogito features.
• Applies comprehensive knowledge of the Epic data model (Chronicles, Clarity, and Caboodle) to identify and utilize data structures that enhance the reporting environment.
• Applies analytical and problem-solving skills to identify, communicate, and resolve issues, maximizing the Epic's potential.
• Participates in troubleshooting of software and workflow issue identification to define mitigation plans for resolution with minimal guidance.
• Manages report requests and changes, analyze new functionalities in Epic releases to determine utility, and maintain detailed documentation for all reports.
• Maintain the Analytics Catalog and associated metadata records.
• Maintains ongoing communication with Epic representatives and the end user community to ensure the system meets organizational needs.
• Provides expert support during implementation phases, upgrades, and application rollouts.
• Fosters strong collaborative relationships with various Epic application teams across the organization to share insights, gather requirements, and identify opportunities for improved reporting solutions.
• Provides mentorship and support to the team through knowledge sharing and advanced knowledge of the Epic environment.
• Performs other duties as assigned.

Senior Enterprise Intelligence Developer

Support Engineer

• Answers incoming calls from patients who want to place orders, respond to inquiries, manage complaints, troubleshoot significant customer service problems, and provide general information.
• Member of the primary contact team for consumers interested in the products we offer and will be responsible for assisting them in completing purchases online and over the phone.
• Inform customers of the product terms and features and project a professional company image through voice and online interactions.
• Receives customer input from phone, email, or web submission and create support tickets.
• Troubleshoots end user issues and determine if the issue can be resolved at Tier 1 or if it needs to be escalated to Tier 2 using established criteria and process.
• Resolves tier1 issues using troubleshooting resolution matrix.
• Gathers information from customers to ensure sufficient data is gained to start case resolutions.
• Conducts database lookup of consumer/patient records within electronic medical record software.
• Enters updated information within electronic medical records as required.
• Re-directs or engages other departments or specialty groups to resolve consumer/patient requests.
• Maintains compliance with attendance and schedule adherence requirements.
• Maintain interaction quality standards.
• Maintain performance standards.
• Proactively identify and share customer insights in order to recommend process improvements.
• Remain current with product/applications/process changes.
• Follows-up and follows-through on open tickets, requests, promises, and questions that have not been answered to provide callers with a resolution.
• Logs interaction outcome in contact management system.
• Performs other duties as assigned.

Support Analyst, Customer Wayfinding, My Chart

Financial Planning and Analysis

• Responsible for monitoring and/or resolution of high dollar, high profile, escalated accounts.
• Ensures timely and accurate posting, adjustments, correspondence, and/or denials.
• Ensures complete, accurate, and compliant processes resulting in optimal collection and customer service performance for the organization.
• Supports various special projects ensuring billing, AR, and denial prevention are optimal.

Patient Financial Services Analyst

• To serve as the lead developer in support of corporate business systems, primarily Workday systems.
• Provide technical support, lead the analysis and business case development for interfaces, enhancements and business process changes.
• Drive the testing and acceptance of changes.
• Provide technical expertise and leadership in the design, testing and debugging of significant enhancements to new/existing software applications.
• Perform complex system configuration, development and report development activities.
• Collaborate with internal/external resources to accomplish required activities.
• Assess the feasibility of complex system enhancements or process changes and their impact on Workday and ancillary systems.
• Test and deploy Workday system updates including executing the pilot/implementation/deployment of new requirements or enhancements to the Workday application and integration support.
• Design, develop, test and deploy integrations using all Workday tools including Studio, Core Connectors, and EIBs.
• Lead Workday release implementations, identifying impact enhancement opportunities associated with new release features/functionality.
• Investigate and resolve complex system-related issues and support the business with escalating issues to the appropriate vendor or internal system owner.
• Design, develop, test, deploy and maintain, complex Workday Dashboards, apps, advanced and shared reports using Workday delivered tools.
• Serve as a Workday product technical specialist, building relationships with key business users as well as third-party vendors to ensure that the services and solutions provided meet current and future business needs.
• Focus on quality and adhere to established escalation, change control and communication practices of the ITS department.
• Coordinate the preparation, installation, deployment and production support of applications and Epic modules, including workflow analysis and flow charting, design specifications, programming and/or building, testing, training and implementation.
• Manage the purchase of appropriate hardware/software for new projects - under the direction of the respective IS Project Manager.
• Develop a timeline for implementation and ensure that all steps are taken to close all outstanding issues regarding the new implementation.

Senior Workday Developer

Implementation Specialist

• The Implementation Manager and Business Development Representative plays a key role within the sales and account management department of Promise Health Plan.
• The Implementation Manager and Business Development Representative supports sales and account management staff by leading the implementation process for new business and existing Promise Health Plan customers.
• The Implementation Manager and Business Development Representative will work with brokers to complete client onboarding paperwork and will provide that information to Promise Health Plan's vendor partners.
• The Implementation Manager and Business Development Representative will need to be highly organized and detail oriented to ensure that new business is onboarded accurately.
• The Implementation Manager and Business Development Representative will log all sold customer details in client database.
• In addition to leading the onboarding of new Promise Health Plan customers, the Implementation Manager and Business Development Representative will support the new business sales team with business development activities.

Implementation Manager, Business Development Representative

Account Executive

• Experienced business and sales professional responsible for identifying, researching, and establishing long-term employer relationships
• Selling Employer Health Services and products through targeting employers located within an applicable region
• Communicates directly to prospects and clients, understands client needs, and recommends Employer Health and other Prisma Health services
• Leads the development of strong lasting relationships with business and community partners
• Supports business development including customer identification, cold calling, appointment setting, and documenting all activity in CRM (Salesforce)
• Responsible for establishing and maintaining relationships with client company representatives
• Partners with other Employer Health Services leaders and represents sales in the overall strategy, client identification and product implementation.

Health Services Sales Consultant

Analyst

• Interacts with departmental revenue owners to monitor charge capture, revenue reconciliation and revenue trending across Prisma Health
• Completes focused charge review audits for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes
• Works assigned Epic charge review and billing work queues to meet our compliant standardized min daytime frame, ensuring appropriate medical documentation exists to support charge capture compliance
• Validates assigned principal diagnosis, all secondary diagnoses, principal procedures, and all secondary procedures and CPT/HCPCs codes
• Advises departmental revenue owners and their staff on proper usage of charge codes, identifies opportunities for capturing additional revenue in accordance with payer guidelines and develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections
• Reviews and applies appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage
• Completes internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes
• Assist with monthly, quarterly, and yearly Charge capture revenue reconciliation auditing, reporting and education
• Partners with vendors for optimization projects to complete data review, auditing, and testing
• Performs other duties as assigned

Charge Capture Analyst

• Identify trauma patients meeting registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards
• Abstract clinical and outcomes data from pre-hospital EMS database and in-patient medical record (demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data)
• Code procedures, diagnoses, and injuries using ICD-10, AIS injury coding, E-codes and enter data into Trauma Registry
• Maintain registry within NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program standards
• Perform data analysis and data validation for monitoring data quality, errors, and omissions
• Prepare reports for performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center designation/verification
• Prepare, process and submit Trauma Registry records to State Trauma Registry quarterly and annually to NTDB
• Participate in performance improvement monitoring and report trends to PI Coordinator and TPM
• Ensure compliance with Palmetto Health HIPPA and IRB research policies
• Attend and participate in Multi-disciplinary Trauma Patient Care Conference, Committees, and Trauma Association of South Carolina
• Work with Trauma Registry software vendor and PHR IT on data submissions, upgrades, imports, and enhancements
• Respond to information requests and write reports to support coding, billing, trauma research, injury prevention, and other Trauma Program activities

Trauma Registry Analyst

• Answers incoming calls from patients who want to place orders, respond to inquiries, manage complaints, troubleshoot significant customer service problems, and provide general information.
• Member of the primary contact team for consumers interested in the products we offer and will be responsible for assisting them in completing purchases online and over the phone.
• Inform customers of the product terms and features and project a professional company image through voice and online interactions.
• Receives customer input from phone, email, or web submission and create support tickets.
• Troubleshoots end user issues and determine if the issue can be resolved at Tier 1 or if it needs to be escalated to Tier 2 using established criteria and process.
• Resolves tier1 issues using troubleshooting resolution matrix.
• Gathes information from customers to ensure sufficient data is gained to start case resolutions.
• Directs inbound service interactions to appropriate technical and sales resources.
• Conducts database lookup of consumer/patient records within electronic medical record software.
• Enters updated information within electronic medical records as required.
• Re-directs or engages other departments or specialty groups to resolve consumer/patient requests.
• Maintains compliance with attendance and schedule adherence requirements.
• Maintain interaction quality standards.
• Maintain performance standards.
• Proactively identify and share customer insights in order to recommend process improvements.
• Remain current with product/applications/process changes
• Follows-up and follows-through on open tickets, requests, promises, and questions that have not been answered to provide callers with a resolution.
• Logs interaction outcome in contact management system.
• Performs other duties as assigned.