University Hospitals

Compliance

• Collaborates with pharmacy directors, managers, supervisors, clinical pharmacists, and pharmacists responsible for accreditation and compliance decisions.
• Participates in the development of policies and procedures related to applicable pharmacy accreditation standards and compliance with federal and state rules and regulations.
• Oversees pharmacy compliance with all USP chapters and other applicable laws, regulations, and standards.
• Functions with a high degree of autonomy and subject to quality of service measurements.
• Performs other duties as assigned.

Program Coordinator, Pharmacy Compliance

Project Manager

• Manages all aspects of quality measurement and improvement projects.
• Collaborates with pharmacy leaders on project methodologies, leads coordination of data collection and analysis and assures projects are completed according to plan.
• Coordinates work and communicates across departments within UH and with external customers including, but not limited to, health-system related vendors.
• Serves as a lead and mentor to Project Coordinators.
• Works closely with the Pharmacy Leadership Team to assist in the development of project methodologies and manage components of the project and implementation plans as assigned.
• Develop, coordinate, and lead a portfolio of activities including, but not limited to: regulatory matters, writing protocols, creating operations manuals, and data collection.
• Manage and coordinate regulatory requirements as needed.
• Collaborate effectively with various departments and associates by facilitating projects across the University Hospitals business.
• Provide timely and concise communications to the leadership team regarding project status.
• Lead coordination of primary data collection, and oversee compilation and analysis of secondary datasets (when applicable).
• Serve as lead support on projects and assignments, which require commitment from interdepartmental and external resources.
• Manage and report on project timelines according to project assignments and corresponding deadlines.
• Manage engagements with external customers and health system-related vendors.
• Coordinate activities with colleagues within the UHHS network and other project collaborators.
• Provide leadership, mentorship, and education for team members on assigned projects.

Senior Project Coordinator, Pharmacy – Patient Engagement

Counselor

• Provides excellent service and timely support
• Performs assessment and collections activity on pre-service scheduled cases
• Generate patient estimation of services and collect deposits
• Monitor and work Financial Counselor worklist for respective locations
• Escalate financially risky accounts through designated escalation team
• Process payments by phone
• Informs patients and executes financial assistance opportunities
• Identifies other options to resolve financial obligation

Financial Counselor

Analytics Engineer

• Provide data management, extraction, and analytics support for research studies.
• Prepare, clean, and analyze clinical and population health datasets from internal and external systems.
• Ensure compliance with institutional SOPs, HIPAA, IRB, GCP, and regulatory requirements.
• Collaborate closely with investigators, coordinators, and research staff to translate clinical and public health questions into analytic solutions.
• Contribute to grant proposals, IRB protocols, and peer-reviewed manuscripts.

Clinical Research Data Analytics Specialist, Infectious Disease

Clinical Research

• Act as the primary CTMS resource for all departments including daily triage of support requests (35%)
• Resolve interface workqueue errors in collaboration with Research IT (15%)
• Collaborate with Finance, Pre-Award and Operations Specialists to ensure accurate invoicing and special payments (10%)
• Participate in strategic planning for system upgrades and financial data collection in collaboration with the Finance, Operations, IT, and study teams (10%)
• Manage user access for employees (5%)
• Establish and enforce financial reporting policies, procedures, and best practices (5%)
• Oversee the build of clinical trial protocols in the CTMS throughout the study lifecycle (5%)
• Oversee the build and maintenance of financial budgets and pass-through payments for clinical study protocols (5%)
• Lead implementation of new interfaces or system upgrades and ensure end-to-end testing is completed (5%)
• Create and implement staff training plans and follow-up programs for system use (3%)
• Develop policies and procedures to ensure efficient CTMS management (2%)
• Performs routine on-call rotation which includes 24x7 phone coverage. (as needed)

Clinical Research CTMS Administrator

Financial Planning and Analysis

• Develops budgets for over 30 industry sponsored clinical trials a year based on an analysis of one time and per patient personnel, procedure and supply costs.
• Negotiates budgets with sponsors and advises investigators and CTU management on costs of trials so that resources can be appropriately allocated.
• Negotiates appropriate discounts for technical and professional fees with Center for Clinical Research and professional groups.
• Tracks income and accrual for over 75 clinical trials a year to ensure that negotiated amounts and time frames are adhered to.
• Invoices sponsors based on negotiated milestones.
• Renegotiates budgets based on changes to protocol.
• Works with Center for Clinical Research to track and prioritize clinical trial agreements.
• Performs other duties as assigned.

Budget Analyst, Clinical Trials Unit

Customer Support

• Handles inbound and outbound patient/customer calls to resolve billing inquiries in a patient-focused manner
• Researches and documents phone conversations and applies appropriate transactions to patient accounts
• Processes payments by phone (electronic check, credit card, payment database, etc.)
• Determines eligibility and explains hospital financial assistance programs
• Assists patients with payment plan arrangements and collects initial down payments per policy
• Identifies patient needs, researches account history, and provides solutions or alternatives
• Maintains patient and physician confidentiality in accordance with HIPAA and departmental policies
• Researches accounts, processes adjustments and refunds, and responds to patient correspondence
• Processes documentation for system reports and work lists and corrects patient accounts to ensure accuracy
• Coordinates with agencies, vendors, insurance companies, and internal teams to resolve accounts and appeals
• Monitors self-pay accounts and refers to outside collection agencies per policy
• Performs financial counseling support and participates in department projects
• Supports price transparency initiatives and provides patient education
• Works to achieve customer service KPIs including patient satisfaction, productivity, average speed to answer, call wait times, and abandon rates

Customer Service Representative, Billing

Accountant

• Assists in maintenance of cost accounting methodologies (RVU, RCC, Variable Charge, ABC) for UH Health System, including the overhead allocation and statistical drivers.
• Calculation of Net Revenue Reimbursement including preparation, allocations, reconciliations.
• Monitors and recommends enhancements to data extracts from source systems and ensures integrity and validity of data.
• Works closely with IT on all system upgrades and testing (beta development, functionality testing, movement into production environment).
• Develops reporting solutions and analyses for management and senior leadership; builds custom reporting solutions including dashboards, standard monthly/weekly/daily reporting in a productionized, repeatable fashion.
• Helps define various Product Lines at all entities for reporting purposes.
• Performs special projects (e.g. Product Line Profitability Reporting, Physician Based Reporting, Length of stay and utilization expense reduction projects, business planning data requests, system enhancements).
• Handles adhoc reporting requests with varying time sensitivity and criticality.
• Responsible for source system extract definitions/modifications, validation & testing, full costing and overhead allocation development, GL and Payroll costing assignments/mapping/definitions, reporting/dashboard reporting development.
• Net Revenue modeling and assisting in implementing newly acquired hospitals onto our EPSi system.
• Performs other duties as assigned and complies with all policies and standards; maintains PHI securely.

Accountant II or Senior

• Coordinate and facilitate the clinical trial data for participants enrolled in clinical research studies conducted by principal investigator(s) at University Hospitals Case Medical Center (20%)
• Assist and complete case report forms entry, review and abstraction required to conduct clinical research with the IRB, pharmaceutical sponsor, and other internal/external agencies or committees (30%)
• Provide timely and professional ongoing data entry of clinical trial data by identifying errors and inconsistencies of data in accordance with study submission/completion guidelines across a variety of studies in different therapeutic areas and phases (30%)
• Assure that the integrity and quality of the clinical research trial is maintained and that the trial is conducted in accordance with SOPs, GCP guidelines, sponsor guidelines and current regulations (20%)
• Perform other duties as assigned and comply with all policies and standards
• Maintain and protect PHI according to UH policies and training

Clinical Research Data Specialist I

Accounts Payable

• A Brief Overview Position is responsible for processing invoices via KTM, SSI and PO in a timely manner.
• Working closely with the Sr. Rep over supplier accounts and working with end users on SSI issues and invoice formats.
• What You Will Do Processes purchase order supplier invoices through KTM in a timely manner and meets targeted quotas.
• Reviews and approves Non-PO invoices (SSI) according to policy and procedure and meets targeted quotas.
• Reviews and resolves Markview systems working folder on a timely basis.
• Coordinate the resolution of SSI invoice issues with end users via numerous communications methods, emails, phone calls, etc
• Coordinate the resolution of sending PO invoice issues to Sr. Rep/Buyers
• Instruct and answer questions on the submission process according to policy & procedure
• Resolves Markview backlog queues as assigned by Corporate Accounts Payables Manager, opens mail, and scans supplier invoices into Kofax systems.
• Completes monthly processing of selected uploads
• Answers and effectively resolves internal and external phone calls in a timely manner.
• Performs various projects, special assignments and report generation as requested by Financial Services Management.
• Assumes additional responsibilities and performs special projects as directed
• Additional Responsibilities Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.
• Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Accounts Payable Specialist

Medical writer

• Applies clinical expertise and knowledge of health care workflows to educate and train CDI Specialists in essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes
• Educates CDI Specialists on the rules/regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions.
• Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and/or clinical and coding scenarios as needed.
• Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations
• Documents SLR findings within CDI application. ◦ If a documentation opportunity is identified, place physician query and follow up for response to ensure completeness and accuracy of the medical record. ◦ If coding opportunity is identified, coordinate with coder and/or Coding Leadership to review and address opportunity as applicable
• Serves as a role model and resource for CDI team members • Subject matter expert that exhibits excellent skills in essential components of the CDI Specialist role • Responds to CDS requests for concurrent chart reviews on challenging cases with recommendations and supporting rationale ◦ Performs concurrent second level reviews based on defined criteria and shares feedback with CDI Specialist assigned to the encounter for action on opportunities identified. Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team • Coordinates with other Second Level Reviewers, CDI Leads, and CDI Educator to compile trends and areas of opportunity and conduct education both 1:1 and group education with the CDI team based on the findings
• Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity Is actively engaged in quality and process improvement efforts • Performs targeted audits as assigned in support of department initiatives • Participates in quality initiatives such as HAC/PSI and US News/Mortality • Collaborates with CDI Leadership, Leads and Educators to optimize query templates • Identifies and shares feedback regarding workflow improvement opportunities identified when completing the SLR process • Facilitates change and supports the CDI team through change management processes • Actively engages in advancing the CDI practice throughout the UH enterprise • Actively engages in department and/or enterprise-wide committee • Additional Responsibilities Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Clinical Documentation Integrity Analyst

• Reconciles supplier statements on a timely basis; effectively communicates and resolves open issues as it relates to missing credit memos, missing invoices, invoices on hold, disputes and invoices inquiries.
• Serves as team lead over an Accounts Payable Specialist to identify and resolve issues related to the entry of all invoices related to the suppliers assigned.
• Performs Electronic Data Interchange (EDI) supplier invoice processing and troubleshooting.
• Performs direct buy and purchase order supplier invoice upload file imports into Oracle on scheduled due dates.
• Analyzes price variance report monthly. Analyzes and resolves unapplied credit and debit memos.
• Provide back-up to Accounts Payable Specialist functions.
• Responds to requestor Receipt No Invoice (RNI) follow up notifications within a two-week period.
• Review and correct all applicable aged Accounts Payable invoice holds on a weekly basis.
• Reviews and resolves Markview systems working folder on a timely basis.
• Answers and effectively resolves internal and external phone calls in a timely manner.
• Obtain copies of invoices and credit memos that are missing
• Resolves KTM and Markview backlog queues as assigned by Corporate Accounts Payable Manager.
• Supplier maintenance back-up responsibilities.
• Review supplier payment terms and communicates differences to Corporate Accounts Payable Manager & Supplier Correspondent for necessary updates.
• Assists in opening mail and scanning of supplier invoices into Kofax and Markview systems.
• Resolve invoice variances with the supplier and/or buyer
• Additional Responsibilities Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Senior AP Specialist

Research Analyst

• Coordinates implementation of assigned clinical research trials with the Principal Investigator.
• Submits documents to regulatory review committees and maintains regulatory files.
• Screens participants for eligibility, obtains informed consent, educates participants, and completes CRFs.
• Maintains in-depth knowledge of protocol requirements and GCP guidelines.
• Documents and maintains participant and study records to ensure regulatory compliance.
• Assists with SOP/grant/protocol development and manuscript/presentation preparation.
• Establishes and maintains communications with Investigator, Sponsor and internal constituents.
• Mentors junior clinical research staff.
• Performs other duties as assigned and ensures PHI compliance.
• Adheres to policies and procedures and training requirements.