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Job Title: QA Consultant (GxP)

Location: San Diego, CA (On-site)

Position Type: Contract / Consultant

Department: Quality Assurance

Reports To: Site Quality Head / Director, QA

Hours requirement: 8 to 5; may need to have some flexibility to work earlier/late as needed

About Us

Based in San Diego, our site operates as a clinical-stage biopharmaceutical facility utilizing unique and proprietary genetic engineering platform technologies to create next-generation cell and gene therapies with the capacity to cure. We are passionate about making an impact on patients' lives with the development of our CAR-T therapies in various cancers and gene therapies for rare diseases. Our goal is to deliver potential single-treatment cures for patients in need.

Position Summary

The Quality organization is seeking an experienced QA Consultant (GxP) to join our team in San Diego, CA. In this on-site contracted role, you will lead the enhancement and maintenance of local Quality Systems, with a primary focus on the Quality Management System (QMS), Electronic Data Management System (EDMS), Document Control, and overall Quality Assurance functions.

You will ensure compliance with regulatory requirements while supporting site-specific needs. This role is integral to the overall GxP Quality system, including processes such as Change Control, Deviation, CAPA, Training, and Document Control, as well as tracking and reporting Quality System Metrics. You will collaborate closely with cross-functional GxP partners including QA, QC, Manufacturing, Validation, Supply Chain, Facilities, and Clinical teams.

Key Responsibilities

Support concurrent activities for legacy Quality systems during QMS integration and system migration phases.

Provide QA oversight for approximately 125 updated SOPs and manual/paper-based systems.

Monitor quality metrics and dashboards to reduce overdue records and maintain effective QMS controls.

Operate and support legacy Quality systems during the transition to new platforms.

Oversee and execute Document Control activities for GxP documents, including manufacturing, clinical, and product quality records.

Assist in managing the GxP Training Program and deliver training on Quality System topics (e.g., Annual GMP Training, Change Control, Deviation, CAPA).

Collaborate with Change Control, Deviation, MRB, and CAPA owners to ensure timely completion and compliance of quality records.

Perform operational functions within the ComplianceWire Learning Management System (LMS) and Qualio (EDMS).

Support continuous improvement efforts for events within EDMS and LMS.

Work with document owners to ensure timely periodic review of procedures.

Assist in the creation and revision of SOPs, policies, forms, templates, and reporting tools.

Generate and trend quality metrics, communicating findings to leadership.

Support internal and external audits, including regulatory agency or partner audits, and assist in executing corrective action plans.

Review and approve paper-based quality documentation and electronic quality records.

Promote a culture of quality, teamwork, and accountability with a patient-first mindset.

Align daily activities with department goals and company values.

Ability to lift up to 20 pounds as needed.

Qualifications

Education: Bachelor’s degree in Life Sciences or related discipline (an equivalent combination of education and experience may be considered).

Experience: Minimum of 8 years of experience in a GxP environment (pharmaceutical, biotech, or cell/gene therapy manufacturing preferred).

Technical Skills:

Strong knowledge of Quality Management Systems in a cGxP manufacturing environment.

Proficiency in core Quality systems: Change Control, Deviations, CAPA, Document Control, and Training.

Hands-on experience with Electronic Document Management Systems (EDMS) and Learning Management Systems (LMS) such as ComplianceWire or Qualio.

Advanced proficiency in Microsoft Office Suite (Excel, PowerPoint, Word).

Competencies:

Exceptional written and verbal communication skills.

Strong attention to detail and ability to manage multiple projects simultaneously.

Proven ability to work independently and collaboratively in a fast-paced, dynamic environment.

Experience developing training materials and delivering training to employees.

Demonstrated ability to write and revise SOPs, work instructions, and Quality System documents.

Company Description

Audley Law Offices, Partnered with Audley Recovery Solutions LLC, represents hospitals and health systems in complex reimbursement and revenue recovery matters. We specialize in resolving high-dollar, high-complexity claims involving payer denials, coordination of benefits (COB), delayed payments, and legally escalated recovery efforts. Our work sits at the intersection of hospital revenue cycle management and legal advocacy, requiring strong investigative and analytical skills to identify root causes of non-payment, interpret payer policy, and partner closely with providers to protect earned revenue through a patient-centered, professional, and compliance-driven approach. 

Role Description

The Revenue Cycle Analyst is responsible for independently managing and resolving complex hospital claims that require advanced analysis, payer engagement, and strategic follow-up. This role is designed for professionals with 3–5 years of hospital billing or revenue cycle experience who are comfortable working denials, appeals, COB issues, and escalations with minimal supervision.   This candidate will be groomed to be a liaison with leadership at health systems and Audley Revenue Solutions. 

Key Responsibilities 

Claim Resolution & Appeals

• Manage a caseload of complex, high-value hospital claims involving denials, COB, and delayed reimbursement. 
• Analyze EOBs, denial codes, payer correspondence, and hospital billing records to identify root causes of non-payment. 
• Execute resolution strategies including appeals, resubmissions, escalations, and legal referrals. 
• Communicate directly with payers, TPAs, patients, and legal representatives as needed. 
• Track claim status and document all activity in internal systems and payer portals. 

Correspondence & Documentation 

• Draft customized appeal letters, billing inquiries, and escalation correspondence. 
• Prepare claim summaries and supporting documentation for attorney review. 
• Maintain clear, accurate case notes and documentation in compliance with HIPAA and PHI standards. 

Client & Internal Coordination 

• Provide claim updates and issue escalation support to hospital clients and internal leadership. 
• Participate in reporting, reconciliations, and account reviews. 
• Flag trends, recurring denials, or outlier claims requiring additional attention. 

Analysis & Process Improvement 

• Identify coding, billing, or payer policy issues impacting reimbursement. 
• Conduct cross-system reviews (EMR, payer records, patient information) to support appeal strategy. 
• Contribute to workflow refinement, templates, and best practices. 
• Support mentoring or knowledge-sharing with junior staff as needed. 

Required Qualifications

• 3–5 years of experience in hospital billing, revenue cycle, or claims resolution. 
• Proven experience handling denials, appeals, and payer follow-up beyond basic claim submission. 
• Strong understanding of EOBs, denial codes, COB rules, and reimbursement processes. 
• Excellent written and verbal communication skills. 
• Strong organizational skills and attention to detail. 
• Proficiency with Microsoft Word, Excel, Outlook, and PDF tools. 
• Understanding of HIPAA and secure data handling practices. 

Preferred Qualifications 

• Experience with hospital billing systems EPIC. 
• Familiarity with payer portals (e.g., Availity, NaviNet, Medicare DDE). 
• Working knowledge of ICD-10, CPT, and HCPCS coding. 
• Experience supporting legally escalated claims or working with attorneys. 
• Power BI or other metric platform knowledge a plus.  
• PowerPoint presentation skills 

Why Join Us 

• Work on challenging, non-routine claims that require critical thinking and strategy. 
• Collaborate with attorneys, senior analysts, and hospital leadership. 
• Be part of a team that values accuracy, professionalism, and accountability. 
• Contribute directly to protecting hospital revenue and resolving complex payer issues. 

Clinical Trial Associate - HYBRID in Wilmington, DE

ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development

What You Will Be Doing:

• Collects, assists in preparation, reviews and tracks documents for the application process. Assists in timely submission of proper application/documents to EC/IRB and, where appropriate to Regulatory Authorities for the duration of the study.
• Interfaces with Investigators, external service providers and CRAs during the document collection process to support effective delivery of a study and its documents.
• Serves as local administrative main contact and works closely with the CRAs and/or the LSAD for the duration of the study.
• Operational responsibility for the correct set-up and maintenance of the local eTMF and ISF including document tracking in accordance with ICH-GCP and local requirements.
• Ensures essential documents under their responsibility are uploaded in a timely manner to maintain the eTMF “Inspection Readiness”
• Ensures that all study documents are ready for final archiving and completion of local part of the eTMF and supports the CRA in the close out activities for the ISF.
• Contributes to the production and maintenance of study documents, ensuring template and version compliance.
• Creates and/or imports clinical-regulatory documents into the Global Electronic Management System
• Contributes to electronic applications/submissions by handling clinical-regulatory documents according to the requested technical standards i.e., Submission Ready Standards (SRS), supporting effective publishing and delivery to regulatory authorities.

Your Profile:

• Industry experience in clinical trial support required (CRO/Pharma)
• BS/BA degree required
• Experience with vendor management, strong verbal & written communication skills,
• and strong organizational skills
• Previous administrative experience
• Proven organizational and administrative skills
• Computer proficiency
• Display excellent organization and time management skills, excellent attention to
• detail, and ability to multi-task in a high-volume environment with shifting priorities
• Team oriented and flexible; ability to respond quickly to shifting demands and
• opportunities
• Working knowledge of the Clinical Study Process and an understanding of the range of working procedures relating to study Start-up, together with an understanding of the ICH/GCP guidelines
• Ability to develop advanced computer skills to increase efficiency in day-to-day tasks
• Good interpersonal skills and ability to work in an international team environment
• Willingness and ability to train others on study administration procedures
• Integrity and high ethical standards
• eTMF experience in Veeva required
• Must be comfortable with a home/office-based hybrid role in Wilmington DE.

What ICON can offer you:

Our success depends on the quality of our people. That’s why we’ve made it a priority to build a diverse culture that rewards high performance and nurtures talent.

In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family.

Our benefits examples include:

• Various annual leave entitlements
• A range of health insurance offerings to suit you and your family’s needs.
• Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead.
• Global Employee Assistance Program, TELUS Health, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family’s well-being.
• Life assurance
• Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others.

Visit our careers site to read more about the benefits ICON offers.

At ICON, inclusion & belonging are fundamental to our culture and values. We’re dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here.

Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless – there’s every chance you’re exactly what we’re looking for here at ICON whether it is for this or other roles.

Are you a current ICON Employee? Please click here to apply

MDSI Medical Services is seeking a Physician to perform medical disability exams as an Independent Contractor. We are contracted by the state to conduct Physical Evaluations for individuals applying for Disability Benefits through the Social Security Administration.

Why Join MDSI?

• Flexible Scheduling: Work as little or as often as you’d like, with schedules set 4-6 weeks in advance. – This is a Moonlighting Opportunity

• Low Risk & No Overhead: No treatment, prescribing, or referrals—just objective evaluations. Liability insurance is covered.

• Fully Supported Environment: Exams are conducted in our clinics with MA support staff—no office overhead.

• Streamlined Documentation: Use our provided templates to ensure compliance with Social Security guidelines, with medical transcription services handling your reports.

Your role is to conduct objective evaluations based on exams and brief record reviews, ensuring accurate reporting for Social Security determinations.

Interested? Join our team today!

Our direct client is seeking a Licensed Clinical Social Worker (LCSW) to manage their youth and young adult development programs. The LCSW will oversee participants in our programs including HHA and CNA certifications, focus on participants' mental health, well-being, self –management and other supportive services needs of participants through small groups and one-on-one sessions as needed. This full-time role requires flexibility in working mornings, evenings, and Saturdays at multiple sites, with hours, days, and locations varying based on seasonal changes.

Key Responsibilities:

• Design Trauma Informed Workshops.
• Create Trauma-Informed informed information sheets for case managers.
• Plan, Conduct, and Deliver Trauma Informed Workshops.
• Distribute and collect pre-and post-Trauma Informed surveys.
• Conduct community outreach to increase workshop attendance.
• Provide assistance to workshops attendees in need of social service support including mental health referrals.
• Follow up on all referrals.
• Document all activities, including workshop events and referrals.
• Provide clinical support for staff to better assist participants.
• Cultivate and maintain relationships with key strategic partners in education, career development, intergenerational programming, and youth development to ensure student/participant enrollment and retention.
• Ensure accurate collection, analysis, and management of data for internal and external reporting, improving mechanisms to ensure accountability and transparency.
• Develop and enhance tools to support the company in generating employment and economic opportunities, including communications collateral, reporting templates, policies, and protocols.
• Adherence to all WIOA contract regulations.
• Perform other related duties as required.

Skills & Requirements:

• Licensed Clinical Social Worker, must be registered.
• Master's in social work, from an accredited school
• Trauma-Informed training and skills, preferred
• Minimum of 5 years of supervisory experience.
• Experience working with youth from underserved communities.
• Ability to work flexible hours, including some evenings and weekends, and travel to various locations in the Tri-State area.

Specialized Skills And Competencies:

• Excellent interpersonal, verbal, and written communication skills.
• Demonstrated experience working with high-need/underserved high school students and young adults.
• Self-directed with the ability to work independently.
• Strong presentation skills, with the ability to write reports, business correspondence, and procedure manuals.
• Ability to lead innovative and meaningful programming that resonates with participants.
• Strong organizational and computer skills.
• Proven ability to apply independent judgment in planning, prioritizing, and organizing multiple tasks with attention to detail and time management.
• Flexibility and adaptability are essential.
• Ability to manage multiple stakeholder relationships.

Physical Demands:

• The role requires normal mental and visual attention, along with manual coordination.
• Work is performed in lighted, heated, and ventilated areas, with occasional interruptions to workflow.
• Duties involve regular periods of sitting, standing, or walking and the ability to work at a computer for sustained periods.
• Ability to lift and/or move up to 25 pounds.
• Travel to all company campuses and program sites is required.

Director of Patient Financial Services (PFS)

Hybrid Role – 3 Days Remote / 2 Days On‑Site Across Two Facilities

Position Overview

The Director of Patient Financial Services (PFS) provides strategic and operational leadership for all revenue cycle functions related to Accounts Receivable (AR) management, billing, and customer service across two facilities. This role oversees approximately 60 team members, including AR billing supervisors, customer service leaders, and frontline staff. The Director ensures high‑quality performance, compliance, and financial outcomes within an Epic‑based environment while fostering a culture of accountability, service excellence, and continuous improvement.

Key Responsibilities

Leadership & Strategy

• Provide vision, direction, and hands‑on leadership for AR billing, customer service, and related PFS operations across two locations.
• Lead, mentor, and develop a team of ~60 employees, including supervisors and team leads.
• Establish performance standards, KPIs, and operational goals aligned with organizational revenue cycle strategy.
• Drive a culture of collaboration, transparency, and service excellence.

Operational Management

• Oversee end‑to‑end AR workflows, including billing, follow‑up, denials, appeals, and customer service interactions.
• Ensure timely, accurate, and compliant billing practices in accordance with federal, state, and payer regulations.
• Monitor AR aging, cash collections, denial trends, and customer service metrics; implement corrective action plans as needed.
• Partner with IT and Epic analysts to optimize system workflows, templates, and reporting tools.

Cross‑Functional Collaboration

• Work closely with clinical, financial, and administrative leaders to resolve revenue cycle barriers and improve patient experience.
• Serve as a key liaison between PFS, Compliance, Finance, and Patient Access teams.
• Participate in organizational committees and initiatives related to revenue integrity and operational excellence.

Process Improvement & Compliance

• Identify opportunities to streamline processes, reduce waste, and enhance productivity.
• Ensure adherence to all regulatory requirements, payer guidelines, and internal policies.
• Lead or support audits, root‑cause analyses, and corrective action initiatives.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or related field (Master’s preferred).
• 7+ years of progressive revenue cycle or PFS leadership experience, including multi‑site or large‑team oversight.
• Strong expertise in AR management, billing operations, and customer service within a healthcare setting.
• Demonstrated experience working in an Epic environment; certification or proficiency strongly preferred.
• Proven ability to lead large teams, manage change, and drive measurable performance improvements.
• Excellent communication, analytical, and problem‑solving skills.

Work Environment

• Hybrid schedule: 3 days work‑from‑home, 2 days on‑site across two facilities.
• Occasional travel between facilities required.
• Fast‑paced, metrics‑driven environment with high expectations for accuracy, service, and accountability.

START DATE: APRIL 16

The nature of the job as a Recreational Therapist is to provide care to individuals with physical and developmental disabilities in home and community-based settings on a 1:1 or group setting basis. The nature of the job is to provide a systematic process that utilizes recreation and other activity-based interventions to address the assessed needs of individuals with illnesses and/or disabling conditions, as a means to psychological and physical health, recovery and well-being.

The following benefits are available to eligible full-time Recreational Therapist staff:

Paid hourly wages

Paid mileage when transporting an individual receiving supports, taking into consideration how far the Recreational Therapist is willing to drive (also available to part-time employees)

-Health Insurance Reimbursement following one month of employment

-401k Enrollment with a 1% match by Assisted Independence

-Flexible work schedules

-Paid Time Off

-Activity Reimbursements

Prequalification

All Recreational Therapist staff must submit to Assisted Independence proof of the following prior to employment and prior to the expiration of any document:

-Application (available online)

-Cardiopulmonary Resuscitation (CPR) certification (If you do not have, we can enroll you)

-First Aid Certification

-Negative Tuberculin Skin Test

-Identification

-Vehicle Registration (As Applicable)

-Automobile Insurance

-Recreational Therapist must provide an active certification from the National Council on Therapeutic Recreation Certification (NCTRC)

Requirements:

All Recreational Therapist staff must assist the individual to which is being supported with one of the following:

Self-care

Self-direction

Expressive or receptive language

Ambulation or mobility

Activities of Daily Living (ADL’s)

Learning

Independent Living

Economic Self-Sufficiency

Physical Activity

Community Participation

All Recreational Therapist staff will be responsible for scheduling times to provide supports with the individual receiving supports, the individuals parent and/or guardians, and/or other team members by scheduling in-person, through the phone, via email, or the preferred method of communication by the individual supported.

Meet and Greet: Recreational Therapists are permitted to meet the individual seeking recreational therapy supports for 30 minutes prior to being approved to provide recreational therapy supports to the individual. The purpose of the Meet and Greet is to allow the individual and/or family to determine if the recreational therapist will be a good fit.

All Recreational Therapist staff will complete the following:

Assessment conducted initially and once annually.

Completion of an Individual Intake Form for each person supported in recreational therapy that has NOT previously received supports from Assisted Independence. The Individual Intake form is due upon completion of the first meeting the individual and/or their family.

Completion of a Functional Assessment of Characteristics for Therapeutic Recreation-Revised (FACTR-R) Assessment for all individuals supported over the age of 10 years-old. The assessment is to be completed within thirty (30) days of the first initial session.

Completion of the General Recreational Screening Tool (GRST) Assessment for any individual supported under the age of 10 years old. The assessment is to be completed within thirty (30) days of the first initial session.

Rights Assessment

Mini Mental State-Examination (MMSE) – Optional

Development of a Treatment Plan within fourteen (14) days after the completion of the Assessment, using the Assisted Independence, LLC. treatment plan template, including:

An assessment write-up, including scores

Priority needs of the individual

Measurable goals and objectives containing content, condition, and criterion

Recommended treatment modalities and activities

Two evidence-based peer reviewed journals or meta-analysis citing why the course of treatment is proven to be effective

Signature and credentials of the Recreational Therapist

The treatment plan must be updated once annually, including new assessment scores

Organizing and directing home and/or community-based activities for the individual supported. These activities may include adaptive sports, dramatics, arts and crafts, social activities, volunteer opportunities, and other recreational supports designed to restore, remediate, or rehabilitate

Transporting individuals supported to community locations, including, but not limited to, gymnasiums, parks, athletic facilities, outdoors, museums, sporting events, children’s playhouses, community centers, amusement parks, sightseeing locations, monuments, educational facilities, or any potential place or resources where recreational therapy can be conducted.

All Recreational Therapist staff are required to provide one-on-one supports to the individuals.

After each session conducted, the Recreational Therapists are to document the session using narrative notes online.

For every 45 minutes of recreational therapy support provided, the Recreational Therapist has 15 minutes to complete necessary documentation (notetaking, assessments, treatment plans, etc.)

Mandatory attendance of all quarterly meetings consisting of each person supported Individualized Support Team (IST). The quarterly meetings are set three months in advance. During the quarterly meeting, Recreational Therapists should document who is in attendance, medication changes, changes in behavior, reports or recommendations from team members, reports about school as applicable, incident reports, home life, extracurricular activities, health status, education towards rights, or any other pertinent information to the holistic well-being of the individual supported.

ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Physician – Outpatient Primary Care to join our team in Groton, CT. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Position Highlights & Primary Responsibilities:

• Physician-led, patient-centered, team-based, supportive primary care environment
• (3) Three-year compensation guarantee + Supplemental Income Opportunities
• (optional) On-Call, No Evenings nor Weekends
• Moderate scheduling templates promoting Work and Life Balance
• Partner and collaborate with strong Advanced Practice Clinicians and care teams
• Educate and empower your patients to take ownership of their health
• Growth, Teaching, and Leadership Opportunities (if interested)
• Multiple practice locations across Connecticut in Primary Care
• Nationally backed (Optum) with a local pulse and culture (ProHealth Physicians)
• High-earning potential for hard-work with bonus opportunities
• Seeking a Full-Time commitment worked across 4.5 days per week

What makes an Optum organization different?

• Be part of a best-in-class employee experience that enables you to practice at the top of your license
• We believe that better care for clinicians equates to better care for patients
• We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations
• Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization

ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients — and their communities — the tools they need to be and stay well. This is how we help people live healthier lives. Together, we're making health care work better for everyone.

Required Qualifications:

• Unrestricted licensure in the state of (Connecticut) or ability to obtain prior to start
• BC/BE in Family Medicine or Internal Medicine or ability to obtain prior to start
• Active, unrestricted CSR and DEA or ability to obtain prior to start

The salary range for this role is $226,000 to $366,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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.

The Information Technology Department at Cambridge Health Alliance (CHA) is seeking a skilled EPIC Reporting Administrator to join our team.

At CHA, we empower high-quality, equitable, and patient-centered care through innovative and secure health IT solutions, driving clinical, operational, and academic excellence. This role is a key member of the reporting team, focusing on building and implementing foundational elements of EPIC reporting systems, custom reporting solutions, and end user Cogito training to support CHA’s needs.

The Senior EPIC Reporting Administrator supports complex or critical business processes and systems by providing essential IT solutions.

Key Responsibilities

• EPIC Reporting System Management: Act as the Reporting Workbench (RW) programmer, coordinating and managing the RW application.
• System Build and Configuration: Build and implement RW templates, queries, columns, action buttons, and other items. Execute the overall MyEPIC implementation and build, configuring MyEPIC reporting homepages and dashboards in collaboration with reporting analysts.
• System Administration: Take the role of a system administrator for EPIC reporting tools, including administering user security for MyEPIC and Reporting Workbench.
• Data and Analytics Support: Provide senior-level support to data analysis and reporting efforts, and work with end users to identify the best platforms for reports and analysis.
• Collaboration: Collaborate with Lead Business Intelligence Architects to integrate RW content, BI content, and other reporting sources into the MyEpic Dashboard Framework.
• Project Leadership and Mentorship: Lead projects independently and provide technical and administrative direction to peers and less-experienced staff. Develop, manage, and implement project plans.

Qualifications

• Bachelor’s degree in health care related field, information systems, or business management. Master’s degree preferred.
• 7 years’ work experience or equivalent combination thereof.
• Must demonstrate progressive knowledge, responsibility, and experience.
• Significant experience working in a complex health care organization and deploying systems to meet user needs is a plus.

Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

Location: Commerce Place, Malden, MA

Work Days: Weekdays Monday - Friday

Department: IT Business Analytics

Job Type: Full-time

Work Shift: Day

Hours/Week: 40

Union Name: Non-Union