Trinity Health

System Administrator

• Responsible for supporting the Director with the daily responsibilities of the Clinical Engineering Systems Administrator (CESA) team while providing technical expertise, guidance, and assistance in the area of clinical equipment network systems for Trinity Health Clinical Engineering (THCE).
• Responsible for planning, maintenance, troubleshooting and management of biomedical and imaging network (LAN/WAN) devices and infrastructure (i.e. servers).
• Works with CESA team members, key stakeholders, CEOs, Senior Management Leadership, and Information Services teams at Regional Health Ministries (RHM) and System Office to develop effective strategies and implementation plans.
• Promotes a department focused on IT compatibility and security of RHM medical technology assets.
• Serves as an escalation point to local RHM clinical engineering staff for guidance, technical assistance and remediation on device installation, cybersecurity and other matters as to not impact patient safety.
• Keeps Medical Equipment Technology & Cybersecurity Director informed in a timely manner of issues affecting device configuration, network connectivity, or cybersecurity of medical equipment.
• Monitors clinical equipment that utilizes networking technologies and/or Unix or Windows based operating system.
• Monitors Medigate and Service Now tickets to respond to issues such as malware incidents, security policy expirations, inappropriate network data traffic.
• Provides technical expertise to Clinical Engineering staff and on-site service as necessary.
• Serves as network (LAN/WAN) systems administrator for various and numerous Clinical Engineering Equipment systems/servers not managed by Trinity Information Services.
• Accesses servers for reboots, patching, and configuration of new applications, etc.
• Serves as conduit for escalations and remediations between the vendor and TIS to understand and implement fixes, policies, and procedures.
• Serves as sole technical resource for implementation of clinical equipment requiring network interface configurations.
• Assists with development of project timelines, milestones and responsibilities.
• Works directly with vendors and all levels of management and support staff for scheduling and ensuring a timely adherence to established timelines.
• Performs root cause analysis for all related network device outages and performance issues.
• Utilizes SQL and Python to perform data/trend analysis, and identify root cause of issues.
• Documents solutions to problems, trouble-shooting techniques and developing end-user guidelines.
• Recommends configuration changes to medical device and network environment based upon technology landscape, industry trends and experience.
• Presents network security solutions and key medical device security metrics at monthly update meetings.
• Manages user security and access, data backup processes, installation and/or upgrades of medical device related servers.
• Responsible for the end to end installation, testing of servers and upgrades.
• Works with vendors and THCE staff on hardware and software patch implementations.
• Develops documentation of data maps and network layout diagrams for sites.
• Maintains database of all system related information related to clinical equipment including IP data, OS, criticality, and recovery information.

Senior Clinical Engineering System Administrator

Analyst

• Responsible for the data capture, analysis & reporting of data information
• Auditing of department information, producing reports, & suggesting improvements to processes
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience

Senior Reimbursement Analyst

• Provide ongoing support to the centralized Cash Management Program
• Handle daily cash positioning, funding of bank accounts and short-term investments
• Support bank relationships and review new banking products
• Assist in administration of long-term debt program
• Prepare financial analysis assistance for Finance executives

Treasury Analyst

Auditor

• Conduct financial, operational and compliance audits
• Plan and complete assigned audit projects
• Compose well-written reports summarizing audit findings
• Initiate and perform follow-up reviews on audit findings

Senior Auditor

Customer Support

• Performs day-to-day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location
• Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries
• Reports to the Supervisor PFS Customer Service
• Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner
• Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s)
• Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor
• Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service
• Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders
• Performs other duties as needed and assigned by the supervisor
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Customer Service Representative – Escalation & Self-Pay

Manager

• Work Remote Position Provides consultation, leadership and managerial direction to the reimbursement function for multiple RHMs exceeding $600 million in net revenue.
• Manages net revenue calculations, filing cost reports, third-party and year end audits and reporting and reconciling general ledger accounting for third party payments and settlements.
• Identifies all financial and compliance risk associated with the RHMs reimbursement function, keeps Regional Director apprised of identified risk and develops risk management plans.
• Works closely with and supports other revenue functional areas including payer negotiations and contracting, patient financial services, utilization management and coding.
• Serves as a consultative resource and develops, establishes and manages relationships with executive leaders, key stakeholders, high-level professionals and decision makers.
• Manages and oversees team members’ work assignments, provides technical specialized leadership and guidance in coordinating projects, managing deliverables and ad-hoc problem resolution and troubleshooting.
• Knows, understands, incorporates and demonstrates the Trinity Health Mission, Vision and Values in behaviors, practices and decisions.
• Manages all financial and compliance risk associated with the MO reimbursement function, notifies departmental leadership of identified risks; and develops and implements risk management plans.
• Manages and oversees project initiatives/teams having a regional and/or system focus and impact.
• Defines and manages project plans and goals; conducts business workflow mapping; impact analyses and modeling.
• Provides and monitors assignments of team members.
• Provides leadership and seasoned guidance coordinating projects, adhering to established methodology, managing deliverables, addressing risk factors and providing problem resolution in meeting project plan deliverables.
• Responsible for hiring, retaining, evaluating, mentoring and firing staff within the RHM reimbursement staff.
• Manages the preparation of RHMs net revenue calculations for review with the Chief Financial Officers prior to financial statement due date.
• Manages the preparation of the budgeted net revenue calculation for the RHMs.
• Manages the preparation of RHMs cost reports and other third-party filings.
• Manages the preparation for third party audits, resolves audit issues and supports developing appeals.
• Monitors policies and procedures to ensure reimbursement procedures, practices and reporting adhere to compliance regulations.
• Manages the reporting process and reconciliation of general ledger accounting for third party payments and settlements, including third party payor receivables, payables and reserves.
• Provides education and consultation to staff to ensure the accuracy of third-party reporting.
• Maintains expertise in reimbursement strategies through appropriate educational and organization activities and serves as a resource for all reimbursement staff.
• Manages the year-end audit preparation for reimbursement issues ensuring the continued integrity of financial records through the design and implementation of appropriate controls.
• Provides seasoned guidance and proven competence in interfacing with executive leaders, stakeholders, and high-level professionals.
• Develops and maintains effective relationships with leaders, stakeholders, high level professionals and decision makers to support system initiatives and ensures the successful implementation of goals and objectives.
• Facilitates meetings with executive leaders, key stakeholders and decision makers by gathering/exchanging information, coordinating communications and making presentations.
• Responsible for researching and compiling detailed information from multiple sources and preparing materials which may include the development of new policies, processes and opportunities.
• Identifies and prepares operational and financial metrics and provides appropriate interpretation and application of data.
• Designs, develops and implements systems that provide financial, statistical and operational information.
• Participates in RHM management and staff meetings to provide reimbursement support.
• Represents RHMs when reporting to and dealing with external agencies such as the Centers for Medicare and Medicaid Services (CMS), third party payors, federal regulatory agencies and other health care entities regarding reimbursement practices, policies and regulations.
• Promotes change in public and private sector policies and procedures in order to optimize the performance of RHMs while maintaining consistency with the TH mission and values.
• Participates in the ongoing review and monitoring of contracts with third party payors and managed care entities.
• Assists departments to enhance their understanding of hospital reimbursement.

Regional Manager – Pre-Service Access, Central Scheduling

Administration

• Responsible for coordinating and facilitating the contract process within assigned Ministry.
• Responsible for supporting Trinity Health's Contract Management System (“CMS”).
• Accountable for maintaining contract process in compliance with applicable Trinity Health and Ministry policies and procedures.
• Serves as liaison between Legal Department and Ministry business owners.
• Responsible for contract intake, review and storage processes.
• Managing electronic signature process ensuring all contracts are properly executed.
• Assist with other projects for the Legal Department as assigned.

Contract Administrator

Director

• Directs the overall care management program, including case management, social work, and utilization review.
• This involves setting departmental goals, establishing policies, and managing budgets.
• Maintains collaborative relationship with Medical Staff and facilitates education on documentation, government regulations and payer contracting matters.
• Oversees processes to ensure patients are at the correct level of care (e.g., observation vs. inpatient) and that hospital resources are used efficiently.
• Lead the Utilization Management Committee to report on denial trends and resource consumption.
• Assures hospital adherence to all Federal, State, and Local regulatory and compliance guidelines related to utilization.
• Oversight of critical processes related to compliance of both medical necessity and appropriate level of care; coordinates utilization review processes to assure adherence to regulations.
• Supports the Utilization Management and Appeals Supervisor and the Manager of Care Management to assure the functions of care coordination in the acute setting meet the goals of resource consumption, capacity management and patient centered care.
• Develops programs to support length of stay initiatives to manage capacity and assure the right care at the right time.
• Assures hospital adherence to all regulatory guidelines related to discharge planning.
• Continuously seeks best practice approaches to assuring patients are discharge ready including coordination of services, coaching, and transition of information.

Director of Care Management

• The Manager is a Registered Nurse who is responsible and accountable for the coordination of all clinical activities and daily operations in both departments and works in conjunction with the staff to coordinate the care of all patients in the units.
• The Manager is responsible for all quality and safety outcomes and process improvement to create a "zero harm" culture.
• The Manager coordinates daily allocation of resources and promotes the development of work teams.
• This manager is responsible for the 18 Bed ICU and 12 bed PCU at Mercy Fitzgerald.

Nurse Manager – ICU/PCU

Data Analyst

• The Prospect Research Analyst reports to the Manager of Prospect Research and Data Analytics and provides donor and organization research/analytics services to our regional health ministries (RHMs) across Trinity Health.
• The Prospect Research Analyst role performs in-depth prospect research on current and potential donors.
• Proactively identifies and researches prospects and analyzes biographical, financial, or other data obtained from a variety of internal and external sources to determine capacity and inclination to give.
• The Prospect Research Analyst is also responsible for entering prospect research data into the Trinity Health standard donor data management system, developing and producing prospect research reports and other prospect dashboard/metric data analytics.
• The Prospect Research Analyst interacts regularly with our RHM Foundation and Development Office colleagues regarding prospect research requests and data results.
• This role provides valuable information to our RHM Foundation & Development Office Colleagues so they can facilitate effective cultivation and solicitation of Major Gifts.

Contract Research Analyst, Data

Procurement

• Performs daily activities for compliant purchasing of pharmaceuticals.
• Supports department leadership and staff in maintaining appropriate inventory of pharmaceutical products and related supply items.
• Understands and supports daily functions of the pharmacy related to medication receiving, storage, inventory management, dispensing and disposal.
• Supports compliance with 340B program requirements.
• Performs all pharmacy wholesaler system functions and processes for ordering, backorder processing, receiving and returning products.
• Ensures timely processing and compliance with procedures for invoices, requisitions and purchase orders.
• Places orders for controlled substances using Controlled Substance Ordering System (CSOS) and manual ordering processes.
• Works in compliance with 340B program requirements.
• Follows processes for order splitting.
• Assists in troubleshooting program issues and supporting audits.
• Reviews accumulators and participates in program maintenance.
• Serves as a departmental expert on the processes related to medication receiving, storage, inventory management, dispensing and disposal.
• Provides training to other colleagues or learners, as assigned.
• Supports leadership in maintaining compliant and efficient systems for medication receiving, storage, inventory management, dispensing and disposal.
• Maintains electronic systems related to medication inventory and barcode scanning.
• Analyzes data and produces reports to inform purchasing, inventory management, drug shortage management and utilization.
• Serves as a liaison to suppliers, manufacturers, outside representatives, offsite locations and other organizations.
• Demonstrates a commitment to providing outstanding customer service in a manner reflective of Trinity Health's mission and values, as well as standards of appearance, attitude, respect, responsiveness, courtesy and follow through.
• Supports and participates in departmental process improvement.

Pharmacy 340B Purchasing Analyst

Financial Planning and Analysis

• Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases.
• This is a fully remote position! This is a per diem position with no set hours to help with coverage as needed.

Financial Clearance Specialist, Patient Access

• Conduct audits of medical records for compliance
• Collaborate with healthcare teams to ensure accurate billing
• Provide feedback and training to staff on audit findings

Revenue Integrity Nurse Auditor

• Performs day-to-day customer service activities within the hospital revenue operations
• Assists patients in the resolution of billing issues
• Provides detailed documentation and reports of customer complaints
• Tracks trends of customer service encounters
• Resolves independently or escalates issues affecting customer complaints

Customer Service Representative – Financial Assistance Counselor

Medical Billing and Coding

• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location
• Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts
• Provides training and guidance to lower level colleagues and provides problem resolution as needed
• Documents claims billed, paid, settled, and follow-up in appropriate system(s)
• Identifies and escalates issues affecting accurate billing and follow-up activities
• Adheres to proactive practices, including contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner
• Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information
• Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances, and payment delays
• Researches claim rejections, makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues to ensure timely and accurate claim resolution
• Proactively follows up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required
• May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services
• Assists in the training and education of Billing and Follow-up Representative I colleagues