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Payment Accuracy Manager, Outpatient Facility

Overview

As a Payment Accuracy Policy Manager, you will serve as a critical bridge between healthcare payment expertise in our facility capability. This role combines deep subject matter knowledge with strategic influence—driving the development of payment integrity policies that protect our clients while advancing Rialtic's platform capabilities.

You'll lead the research, evaluation, and implementation of new policies based on CMS guidelines, Medicaid requirements, industry standards, and emerging medical cost trends in the facility space of our offering. Working closely with client management, product, engineering, and content leadership teams, you'll translate complex payment policy concepts into actionable strategies that deliver measurable value. This is an opportunity to shape how health plans approach payment integrity and to build the content foundation that powers our enterprise platform.

Responsibilities

• Serve as the SME for outpatient facility editing policy development, leading the research, scoping, and creation of new claims editing policies for the facility capability
• Source, interpret, and scope new payment integrity policies to expand Rialtic's claims editing content library from outpatient facility claims
• Prioritize policy updates based on savings potential, client impact, and strategic alignment with platform goals
• Leverage CMS, Medicaid, clinical guidelines, and industry trends to identify opportunities for new content development for facility claims
• Quantify and communicate policy value through data-driven analysis and clear financial impact assessments in the facility space
• Work closely with product and engineering teams to ensure client needs inform platform development, building out our facility capability
• Collaborate with content leadership to maintain consistency, quality, and relevance across the policy library
• Perform investigation of current facility policy defects and unexpected claim outcomes, performing root cause analysis and policy research to identify corrective actions and improve policy accuracy and performance
• Serve as the facility payment accuracy SME in client discussions, presenting policy concepts and addressing facility-related questions when needed

Qualifications

Required

• 5-7 years of experience in payment integrity at a health plan, claims editing vendor, or similar healthcare organization with focus in outpatient facility claims editing and reimbursement methodologies
• Active coding certification (COC, CPC, CCS, or equivalent specialty certification) — required for this position
• Proven expertise in:
• Interpreting medical and payment policies
• Applying CMS and Medicaid reimbursement guidelines
• Professional and outpatient coding standards
• Common claims payment error identification and resolution
• Demonstrated ability to advise clients and explain complex payment accuracy concepts in clear, accessible terms
• Strong analytical skills with experience quantifying policy impact and ROI
• Track record of managing claims editing implementations or similar client-facing initiatives
• Intermediate Excel skills (i.e., formulas, v-lookups, pivot tables, etc)

Preferred

• Expertise across both professional and institutional claims environments
• Advanced proficiency with Google Suite or similar collaboration tools
• Experience working cross-functionally with product and engineering teams in a SaaS or health tech environment
• Exceptional written and verbal communication skills with the ability to influence stakeholders at all levels

Randstad is presently conducting a search for a Sr. Financial Reporting Analyst for a well-established, progressive, and rapidly growing healthcare organization. Organization offers competitive benefits, opportunities for professional development, collaborative working enviornment, and top-notch leadership. The role will report to the VP, Finance.

The BI Analyst is responsible for delivering accurate, timely, and standardized

workforce and productivity reporting to finance, operations, and executive leadership. This role serves as the primary owner of SQL based data queries and report production, translating workforce data into clear Excel outputs and dashboards that support operational and financial decision making. This position focuses on descriptive and diagnostic reporting, not predictive modeling or data science.

This role provides foundational workforce reporting infrastructure, improves turnaround time for

leadership insights, and ensures advanced analytics resources are focused on higher value strategic work rather than routine reporting.

Required Qualifications

• Bachelor’s degree in Analytics, Finance, Information Systems, Statistics, or related field
• 5 + years of relative experience
• Demonstrated experience writing SQL queries against relational databases.
• Advanced proficiency in Microsoft Excel (pivot tables, formulas, data validation).
• Experience producing operational or workforce reports for business leaders.
• Experience with Power BI, Tableau, or SSRS.

For immediate and confidential consideration, please email resume to Chip Doshi,

Company Mission: To be the best provider of comprehensive and innovative clinical laboratory services for the prevention, diagnosis and treatment of complex chronic disease.

Company Vision: The Genova Diagnostics team will improve the lives and well-being of patients by bringing insights to the complexity of health.

Position Summary: This position increases the number of customers utilizing Genova Diagnostic services and the number of products used by existing Genova Diagnostic customers; achieves revenue targets per annual plan; uses consultative selling skills to ethically persuade the client to use company products; provides up-to-date health science information to local, regional, and national health care providers; and provides an avenue for doctors to propose additional research ideas, novel applications, and new diagnostic tests.

Essential Duties and Responsibilities:

Responsibilities include but are not limited to the following:

Technical

• Achieving revenue targets through the use of consultative selling skills.
• Increase the total number of customers served by Genova Diagnostics.
• Positively promote new products to existing customers.
• Promotes positive relationships between our company and our physician clients. Responsible for furthering the medical community's scientific knowledge of our company’s products by providing up-to-date medical information from our company to local, regional and national health care providers.

Other

• Represents the company at professional meetings and conferences by staffing the company booth and being available to physicians for educational consultation and support.
• Must be able to work within and manage a travel budget.
• Works closely with Regional Account Managers, members of the sales and marketing staff, medical education, accounts receivable business office, and laboratory management.
• Work independently to effectively manage a large geographic territory consisting of multiple accounts
• Meets with practitioners face to face to promote Genova’s product portfolio
• Performs in-services to clients and staff when applicable

Supervisory Responsibilities:

This job has no direct supervisory responsibilities but does require close communication with all departments.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Candidates should have the following skills and attributes: reliable transportation, communication, interpersonal skills, and conflict resolution; some familiarity with company products and operations; ability to read, analyze, and interpret complex documents; ability to respond effectively to the most sensitive inquiries or complaints; ability to write presentations using original or innovative techniques or style; ability to make effective and persuasive presentations to doctors and public groups; ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems; ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, etc.); and ability to read medical literature in a discerning fashion. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

A Bachelor’s degree in the life sciences is preferred for this position. Preference is given to candidates who have had consultative sales training or graduated from a corporate sales training program.

Computer Skills:

To perform this job successfully computer skills allowing for broad end-user applications are required.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; operate a motor vehicle to travel to customers or prospects, use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

MUST:

• Healthcare revenue cycle experience (3–5 years) with knowledge of medical billing, collections, Medicare/Medicaid, and fee schedules.
• Expert-level Excel skills (formulas, VLOOKUPs, calculations) with the ability to build templates and improve efficiencies, lots of calculations in Excel
• Very strong experience validating data
• Strong analytical mindset with the ability to spot data discrepancies, audit reports, and validate data accuracy
• Process improvement focus, reviewing current workflows and identifying opportunities to streamline manual or outdated systems.
• Ability to investigate and resolve issues, not just flag them—reconstructing reports and correcting errors when discrepancies arise.
• Ability to clearly share findings and insights with management and business stakeholders.
• Not hoppy, has stability in their resume
• Strong at looking at process improvements, reviewing current processes with the business
• Ability to work within billing systems + perform manual transport and manual data review before it gets processed in our system
• experience recreating spreadsheets manually to repopulate the accounts + running reports
• Run a report and audit what you run to ensure data accuracy is there, running and validating reports.
• Knows the payors and that medicare and Medicaid has fee schedules, diagnosis updates within medicare, need someone to find the discrepancy and fix the errors and go back and reconstruct the reporting
• Ability to help manually create files to update fee schedules, knowing fee schedule expires every October 1st for Arizona Medicaid and that September 30th is the final day.

DAY TO DAY:

The Auditor, Quality Control & Billing Data position is responsible for ensuring the quality, accuracy, and reliability of billing and collection processes, data, and supporting software applications within Patient Financial Services. This role specifically focuses on billing software updates, including Medicare and commercial insurance fee schedule updates, diagnosis and code updates, and system automation changes that impact billing and collection workflows, assist with compliance audits. The position executes test plans, develops and documents test cases, and performs post‑implementation validation to ensure system changes function as intended and do not negatively impact billing accuracy, reimbursement, or compliance. The role analyzes billing data, validates system logic, and reports on quality metrics, trends, and risks, serving as a key quality and data integrity partner to Billing, Collections. This position reports to Director, Patient Financial Services. Also you will work within the system called Centricity Group Management, and use Excel daily.

Job Title: Non-Sterile Compounding Pharmacy Technician

Location: West Palm Beach, Florida

Full-Time

Job Summary

The Non-Sterile Compounding Pharmacy Technician assists pharmacists in preparing customized medications that do not require sterile preparation. This role focuses on compounding creams, capsules, suspensions, and other dosage forms in accordance with pharmacy regulations and quality standards.

Responsibilities

• Prepare non-sterile compounded medications including creams, ointments, capsules,
• Accurately weigh and measure pharmaceutical ingredients
• Mix compounds using mortar and pestle or other compounding equipment
• Operate capsule-filling machines and ointment mixers
• Maintain compounding logs and documentation
• Label and package compounded prescriptions
• Clean and sanitize compounding equipment and workstations
• Follow USP guidelines
• Assist pharmacists with prescription processing and inventory management

Requirements

• High school diploma or GED
• Pharmacy technician registration or license (depending on state)
• Pharmacy Technician Certification (CPhT) required
• Experience in non-sterile compounding required
• Strong attention to detail and accuracy
• Ability to follow written formulas and procedures

Preferred Skills

• Knowledge of pharmaceutical calculations
• Experience with capsule machines and tablet machine compounding
• Familiarity with compounding documentation and quality assurance
• Ability to work in a laboratory-style environment

Duration - 6 months

Shift - 08.00 AM to 05.00 PM

Responsibilities:

• Serve as a primary administrator and subject-matter expert for Concur Expense & Concur Travel.
• Provide day-to-day support to employees and managers regarding expense report submissions, approvals, documentation requirements, and system troubleshooting.
• Support Concur audit and compliance workflows, including missing receipt declarations, returned reports, and exception handling.
• Ensure consistent application of corporate T&E policies across all business units.
• Reporting, Analysis & Data Integrity
• Own monthly T&E accrual reporting for US Field, US Manufacturing, and Canada.
• Consolidate and validate spend and aging data across Concur, Oracle, SAP, and related systems.
• Maintain Operational/Compliance dashboards (Excel and/or Power BI) to support spend visibility and leadership reporting.
• Provide ad-hoc analysis for Procurement, Finance, and HR as needed.

Compliance & Governance

Documentation, SOPs & Continuous Improvement

Cross-Functional Collaboration

Required

• Bachelor’s degree in Business, Supply Chain, Accounting, Finance, or a related field.
• 2–4 years of experience in Travel & Expense administration, Accounts Payable, Procurement Operations, or similar function.
• Strong Excel skills (pivot tables, lookups, advanced formulas).
• Hands-on experience with Concur Expense & Travel.

The Business Systems Support Analyst serves as a liaison between the Accounting team and IT, focusing on the support, maintenance, and improvement of business systems. This role ensures that systems operate effectively, business needs are met, and processes are streamlined for greater efficiency. The Analyst will troubleshoot issues, provide user support, document processes, and partner with stakeholders to implement enhancements that align with LERETA’s goals.

Key Responsibilities:

System Analysis & Support

• Maintain and troubleshoot financial systems (ERP, reporting tools, and related applications)
• Ensure data integrity and compliance with internal controls and regulatory requirements
• Train and assist end-users to ensure they can effectively utilize systems and tool

Business Requirements Gathering:

• Collaborate with Finance stakeholders to understand processes, dependencies, and business rules.
• Document functional and technical specifications for system enhancements

Project Coordination:

• Act as a liaison between Finance and IT teams for system upgrades, integrations, and new implementations
• Work with developers, project managers, and analysts to ensure solutions meet Accounting’s needs and support business goals.
• Participate in testing, validation, and deployment of system changes.
• Evaluate business requirements and translate them into system updates or enhancements.
• Identify opportunities to automate or simplify accounting processes through technology.

Reporting & Analytics:

• Develop and maintain financial reports and dashboards for management
• Provide insights to improve operational efficiency and decision-making

Governance & Documentation:

• Adhere to Data Governance standards for financial systems
• Maintain updated documentation for processes, workflows, and system configurations

Required Qualifications:

• Bachelor’s degree in Accounting, Finance, Information Systems, or related field
• 5+ years of experience in financial systems support or business analysis
• Strong knowledge of ERP systems (e.g., Oracle, SAP, or similar) and reporting tools
• Sage Software
• Sage 100 ERP
• Sage Intelligence
• Sage Paperless Office
• Sage FAS
• Proficient with MS SQL Queries & MS Excel Formulas
• Crystal Reports
• Sage Systems Installations, Configuration and Security
• Adaptive Planning
• Avalara
• SAP Concur Solutions
• Excellent communication and problem-solving skills
• Excellent communication skills to work effectively with both technical and non-technical users
• Ability to document processes and create training materials

Preferred Education & Experience:

• Experience with workflow automation and integration projects
• Familiarity with Data Governance frameworks
• Advanced Excel and financial modeling skills

JOB DESCRIPTION: We are seeking a highly motivated, analytical, and accountable Senior Supply Planner to execute day-to-day supply and material planning activities. This person will be responsible for developing, executing, and continuously improving supply plans to support customer demand, operational targets, and inventory strategies. This role serves as the planning subject matter expert, driving cross-functional alignment between demand planning, manufacturing, logistics, finance, and commercial teams to ensure product availability, optimize working capital, and mitigate supply risk.

JOB RESPONSIBILITIES:

Supply Planning & Execution

• Develop, manage, and optimize supply plans for finished goods and raw materials
• Review demand forecasts, production capacity, lead times, and constraints to generate feasible supply plans
• Issue PO’s and manage rolling 12 month production forecasts to suppliers
• Input item receipts and PO changes into NetSuite
• Drive root cause analysis and resolution of supply issues, including shortages, delays, and excess inventory
• Maintain appropriate safety stock levels across DC network to balance service and cost
• Monitor inventory health, slow-moving items, and obsolescence risk; recommend corrective actions

Cross-Functional Collaboration

• Partner with Demand Planning, Suppliers, Sourcing, and Sales to align supply with business priorities
• Participate in S&OP, presenting supply risk, opportunities, and recommendations
• Collaborate with logistics to ensure the timeliness of supplier production to DC delivery

Analytics & Reporting

• Track KPIs such as fill rate, inventory turns, E&O / SLOB, achievement, and adherence
• Calculate and present inventory and cut projections
• Analyze trends, develop insights, and create dashboards or reports for leadership
• Support continuous improvement and planning initiatives

Other

• Serve as a planning lead in any software or EDI implementations
• Ensure integrity of related data within NetSuite (orders, BOMs, item receipts, etc.)
• Ad hoc projects and analyses as needed

JOB QUALIFICATIONS:

• Bachelor’s degree in Supply Chain Management or a related field
• Minimum of 3 years of experience in supply planning, materials planning, inventory management, or a related role, within the consumer goods industry. A combination of startup and corporate experience is highly valued.
• Understanding of E2E supply chain, and upstream/downstream impacts this role has
• Strong analytical and problem-solving skills with the ability to interpret complex data and translate it into actionable insights
• Very organized and able to keep track of information communicated via various modes (emails, Slack, meetings, etc.)
• Demonstrated success in managing supply risk and influencing cross-functional stakeholders
• Responsible and accountable, with the ability to continuously follow up as needed
• Expert proficiency in Microsoft Excel and Google Sheets (advanced formulas, pivot tables/charts, data analysis, macros, etc.)
• Experience with planning software and/or ERP systems (NetSuite, SAP, etc.)
• Ability to thrive in a fast-paced, dynamic, and often ambiguous startup environment; flexibility to change directions as needed

Performs daily functions such as compounding flavors, sampling, raw material and finished flavor maintenance.

• Performs daily laboratory housekeeping
• Performs raw material and finished flavor maintenance including data entry and re-stocking inventory
• Precise compounding of flavors following formula instructions
• Confirms the integrity of raw materials before using
• Performs organoleptic and visual tests of finished flavors before using
• Effectively collaborates with other departments (Sales Service, Regulatory, R&D Labs, Production)
• Commitment to Robertet and SQF Quality Standards and continuous improvement of the quality management systems
• Adhere to Sample Lab GMP’s, SOP’s and safety procedures, including the use of PPE
• Able to maintain a clean and organized work area
• Required:
• High School Diploma
• Basic math skills
• Preferred:
• Microsoft Office Applications
• Knowledge of Oracle

ABOUT METRC

Metrc is the most trusted and experienced provider of cannabis regulatory systems in the United States and is growing extremely rapidly to expand globally. We provide a solution that combines advanced software, radio-frequency identification (RFID) technology, a dedicated customer-support team, and a secure database to track and trace cannabis from growth, harvest, and processing to testing, transport, and sale. As Data Analyst, you will have the opportunity to thrive in a fast-moving, fluid environment, and be passionate about implementing change, great processes and procedures in a commercial setting at a fast-growing technology company.

GENERAL OVERVIEW

The Data Analyst (DA) is a key member of Metrc’s Data and Analytics organization. In this role, you’ll collaborate closely with internal teams across the company as well as external customers and partners. The Data and Analytics team delivers high-value analysis and actionable insights that support strategic decisions, operational efficiency, and compliance for a wide range of stakeholders.

KEY RESPONSIBILITIES

Core duties and responsibilities include the following.

• Embodies Metrc’s Leadership Principles
• Design, develop, and deploy dashboards and reports using Tableau, Sigma, and other BI tools to meet business requirements
• Analyze complex data sets using SQL to identify trends, patterns, and actionable insights that inform business decisions
• Administer BI platforms (Tableau Server, Sigma), managing users, permissions, automations, and content assets
• Monitor and validate report data regularly to ensure consistency, accuracy, and reliability
• Curate and organize data for reporting purposes, ensuring well-structured data that meets business needs
• Maintain and optimize DBT pipelines to ensure data quality and transformation efficiency
• Document business requirements and create specifications for needs requiring advanced data engineering
• Respond to BI tool inquiries and collaborate with training to facilitate user education.
• Proactively explore new metrics within existing data to improve analytics.
• Maintain and publish organizational data dictionaries to ensure accurate and up-to-date documentation
• Stay current with industry best practices and emerging trends in data visualization and reporting

QUALIFICATIONS- KNOWLEDGE, SKILLS, & ABILITIES

• Experience in supply chain or track-and-trace–related data analytics is preferred but not required.
• Four years or more experience with Data Analysis and Analytics
• Strong SQL proficiency and relational database interaction skills
• Bachelor’s degree in data Analytics or a similar study or equivalent experience. Other degrees are acceptable if a candidate has deep technical experience with Snowflake, SQL, Python, R to pair with Data Analytics experience.
• Reporting tool experience (ex: Tableau, Sigma, Power BI, Domo, Looker, etc.) is highly desirable.
• Reporting tool development experience is favorable but not required.
• ETL tool experience is favored but not required (ex: Alteryx, Tibco, Tray.Io, Workado, MuleSoft, Metallion, FiveTran)
• AI and Machine Learning experience a plus, basic understanding required
• Heavy Microsoft Excel experience (formulas, pivots, lookups), Visio a plus, proficiency with the remainder of MS Office suite.
• Basic understanding of client service: this position exists to help others; we are a business support function that supports a commercial business, and the Data Analytics team at Metrc prides ourselves by treating our customers like customers.

COMPETENCIES

• Written Communication--Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Oral Communication--Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Teamwork--Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Hybrid Position
• Frequently required to sit
• Frequently required to talk or hear
• Continually utilize visual acuity to operate equipment, read technical information, and/or use a keyboard and mouse.