Center for Health Care Strategies

Medical writer

• Conduct concurrent and retrospective reviews of medical record documentation for accuracy, completeness, patient condition, and services performed
• Support accurate ICD-10-CM/PCS coding, DRG assignment, severity of illness, risk of mortality, reimbursement, risk adjustment, and quality reporting
• Collaborate with coding, physicians, physician advisors, quality teams, utilization management, revenue cycle, and clinical teams
• Deliver documentation education to providers, including risk stratification, chronic conditions, and billing-supporting documentation
• Develop templates, smart phrases, and other documentation tools with clinical teams
• Monitor and improve patient chart documentation in inpatient and outpatient settings
• Review inpatient records within 2 days of admission and identify documentation opportunities and problem-list inaccuracies
• Attend multidisciplinary patient rounds
• Communicate documentation opportunities and ICD-10 specificity through verbal or written queries; track queries and response rates in Epic
• Design and implement EHR documentation tools and educational programs with the physician champion
• Arrange education for new providers after onboarding
• Identify documentation trends and improvement opportunities and report them to attending groups
• Maintain expert knowledge of EHR clarification, presentation, and tracking tools and current ICD-10 requirements
• Understand APR-DRG and MS-DRG methodologies
• Review denials and identify root causes
• Identify strategies for sustained process changes supporting complete and accurate clinical documentation
• Maintain communication with hospital and professional billing coding staff, coding integrity, physician champion, and division leaders

Clinical Documentation Specialist

Program Coordinator

• Support management and oversight of one or more fellowship training programs in accordance with ACGME, specialty boards, and subspecialty boards
• Provide administrative assistance to program leadership and fellows
• Develop and implement division, department, and institutional procedures and policies
• Coordinate fellowship recruitment and trainee application processes, including screening, credential verification, interviews, correspondence, and records
• Coordinate trainee licensing, insurance, HIPAA training, immunizations, background checks, drug screening, orientation, and system access
• Maintain trainee and faculty scholarly activity and prepare annual accreditation documentation
• Support residency/fellowship committees by developing agendas, recording minutes, and implementing decisions and actions
• Create rotation and departmental education conference schedules and track off-site rotations
• Facilitate trainee checkout, exit interviews, and final evaluations
• Assist with GME reimbursement data collection and maintain affiliation agreements and PLAs
• Maintain fellow information in New Innovations and other GME databases
• Support fellowship budgets, expense tracking, travel check requests, education allowances, funding research, and new program initiatives
• Coordinate special events including retreats, graduations, banquets, and orientation
• Provide backup to the Fellowship/Visiting Student Coordinator

Solutions Engineer

• Provide day-to-day support for all Health Information Exchange (HIE) activities at Nemours
• Advance interoperability with external healthcare organizations, referring physician practices, regional and state Health Information Exchanges, government agencies, and other entities
• Roll out enhancements and implement new functionality supporting providers, care coordinators, the care team, patient care, and population health initiatives
• Establish new connections and maintain existing integrations with other health systems, the Social Security Administration, DHIN, HSX, and the Florida HIE
• Improve the content of external clinical documentation brought into local charts
• Analyze, test, deploy, monitor, and provide ongoing support for HIE activities using Epic's Care Everywhere platform
• Support query-based records exchange and Direct messaging
• Collaborate with Privacy and Health Information Management teams on appropriate functionality use
• Assist with patient questions and opt-out requests
• Serve as primary engineer for designated projects, assisting with project plans, team communication, go-live documents, and sign-off processes
• Modify, test, validate, and document system changes while following change-control processes
• Administer integration tools, including performance tuning, system monitoring, problem investigation, and application upgrades
• Identify process and procedural issues, suggest solutions, and engage teammates or other teams as needed

Integration Solutions Engineer – Clinical Data Exchange

Security Engineer

• Provide support to the Security Engineering and Operations team.
• Research, develop, and implement security tools and applications.
• Serve as technical lead on security projects.
• Troubleshoot and resolve complex technical issues.
• Handle escalations from junior team members.
• Serve as a technical liaison for Clinical and Business Information Security needs.
• Train team members on implementation and operation of security tools.
• Train team members and others on incident response procedures.
• Lead security incidents and tabletop exercises.
• Implement security tools and applications that detect and prevent cyber threats.
• Ensure security systems operate and function as designed.

Information Security Engineer – Associate

General

• Provide administrative support to division leaders
• Act as the central point of contact for departmental associates and external contacts
• Guide and process clinical schedules for providers within assigned divisions
• Build EPIC scheduling templates and submit them to the enterprise templating team
• Complete and submit provider call schedules
• Submit planned and unplanned clinic cancellations
• Coordinate surgical schedules with Outlook schedules
• Manage administrative leaders’ schedules according to priorities and time efficiency
• Handle incoming calls and provide assistance and information
• Page physicians as appropriate for the provider-to-provider line
• Coordinate airline reservations, hotels, auto rentals, and conference registrations for providers
• Prepare correspondence, reports, and PowerPoint presentations
• Complete occasional special projects for Division Chiefs and administrative leaders

Division Coordinator – Behavior and Development Admin

Recruitment

• Lead full-cycle recruitment for executive-level positions, including Assistant Vice President and above and other critical leadership roles
• Develop and execute strategic sourcing plans for pediatric healthcare leadership roles
• Partner with senior leaders to define success profiles, leadership competencies, and organizational culture alignment
• Build and maintain pipelines of high-caliber pediatric talent through targeted outreach, networking, professional associations, and market mapping
• Leverage recruitment analytics, market intelligence, and data-driven insights to advise hiring leaders and optimize search strategies
• Conduct behavioral, competency-based, and values-aligned interviews
• Coordinate assessment tools, case presentations, and stakeholder interview panels
• Provide evidence-based candidate recommendations
• Advise hiring leaders on search strategy, position design, compensation insights, and competitive market trends
• Provide regular updates to executives and leadership teams on search progress, market feedback, and potential challenges
• Strengthen leadership pipelines and hiring practices
• Build and maintain relationships with pediatric and healthcare leadership communities nationwide
• Lead end-to-end search execution, including interview coordination, travel arrangements, candidate communications, and executive scheduling
• Manage finalist debriefs, reference checks, compensation alignment, and offer negotiations
• Partner with HR, operations, and hiring leaders to support executive onboarding
• Deliver a high-touch executive recruitment experience and serve as a trusted advisor to candidates

Executive Recruiter

• Answer incoming calls and make outbound follow-up calls to schedule patient appointments
• Schedule appointments according to division guidelines and communicate updates, delays, barriers, and appointment-related issues
• Prioritize urgent diagnoses and appointments and use escalation processes when necessary
• Educate callers about appointment preparation, requirements, directions, and clinic locations
• Provide cross-coverage scheduling support across specialty areas
• Manage canceled clinic requests and facilitate timely rescheduling
• Process and document insurance verification, registration, and billing information in the EMR
• Verify insurance eligibility, authorizations, participating plans, and requirements
• Inform callers when authorization is required and communicate financial responsibility
• Offer advance collection when appropriate and ensure accurate daily cash reconciliation
• Refer patients to Financial Advocates when financial assistance is needed
• Document patient account notes and request medical records when necessary
• Review work queues daily, make corrections, and escalate concerns to leadership
• Respond to and complete staff messages
• Provide excellent customer service and communicate professionally with patients, families, providers, coworkers, and departments
• Maintain confidentiality, meet team metric standards, and follow Nemours policies and procedures
• Support Nemours' mission, vision, and values and recommend operational improvements
• Perform additional duties as assigned

Access Center Specialist II

Insurance

• Evaluate patients’ insurance status and assist with ensuring coverage eligibility for timely and efficient billing
• Access partner hospital electronic health records to verify insurance eligibility and monitor account updates
• Place appropriate insurance or eligible charity care programs to ensure timely filing
• Validate and accurately document demographic and insurance information
• Contact guarantors to obtain information and communicate with partner hospitals
• Monitor accounts for documentation, insurance verifications, and collection of deposits and self-pay balances
• Support and serve as a resource to associates, including cross-covering Family Financial Advocate functions
• Provide cost estimates to patients and providers and approve discounts according to organizational and government policies
• Perform financial assessments of uninsured and underinsured patients and assist with federal, state, and local program applications
• Ensure accounts are ready for billing with adequate supporting documentation within established time frames
• Support patients and families in accessing private and governmental funding sources
• Conduct financial interviews and ensure compliance with hospital financial resolution policies
• Resolve financial-services concerns and advise patients and guarantors regarding payment rights, responsibilities, and procedures
• Create patient responsibility estimates and collect applicable patient responsibility portions
• Handle inbound and outbound customer service, account inquiry, coverage, and eligibility calls
• Communicate with specialty clinic locations and physician offices
• Support scheduling functions and other assigned projects and duties

Insurance Specialist

• Answer incoming calls and make outbound follow-up calls to schedule specialty appointments
• Obtain and enter accurate demographic and insurance information for encounters
• Process and document insurance verification, registration, and billing information in the EMR system
• Schedule appointments according to division guidelines and communicate updates and barriers
• Prioritize urgent diagnoses and appointments and escalate when necessary
• Verify insurance eligibility and authorizations using available tools
• Use the Managed Care Manual to verify participating insurances and requirements
• Inform callers of financial responsibility, offer advance collection, and ensure daily cash reconciliation
• Inform callers when authorization is required
• Refer patients to Financial Advocates for financial assistance
• Educate callers about appointment preparation and visit requirements
• Notate patient accounts for clinic, registration, authorization, financial, and billing departments
• Request medical records when necessary
• Review work queues daily, make corrections, and escalate issues to leadership
• Respond to and complete staff messages
• Support Cancelled Clinic requests
• Review scheduled appointments for accuracy and take necessary action
• Provide directions to clinics and locations
• Communicate appointment delays or issues with patients, physicians, and departments
• Achieve team metric standards and expectations
• Support Nemours' mission, vision, and values
• Report compliance or ethics issues and recommend operational improvements
• Perform other duties as assigned

Business Operations

• Develop and manage the annual MarCom budget, including forecasting, actuals tracking, variance analysis, and reallocation
• Own purchase orders, invoicing, and the working relationship with the finance department
• Produce financial reporting including spend, cost-per-outcome, and ROI by program
• Manage the full contract lifecycle, including review, execution, renewal tracking, and compliance
• Own vendor relations and performance management across MarCom partners
• Manage sponsorship agreements, deliverables, and tracking
• Build and maintain operational infrastructure, including file storage systems, shared drives, naming conventions, and documentation standards
• Design and implement onboarding processes for team members
• Partner in managing the martech stack and software licensing
• Support retreat and offsite planning, including materials preparation, vendor coordination, and logistics
• Maintain department-wide operational reporting and standards
• Partner with analytics on measures of success and annual goal progress
• Support annual goal development with marketing and communications leadership
• Establish and reinforce operational policies, process documentation, and templates

Business Operations Manager

• Communicate with patients and providers by telephone to schedule specialty appointments accurately, promptly, and courteously
• Obtain and enter accurate demographic and insurance information for all encounters
• Discuss financial obligations with patient families and collect when appropriate
• Monitor registration and insurance-related patient work queues to ensure timely claim filing
• Collaborate with medical secretaries and department managers to meet patients’ access needs
• Answer incoming calls and make outbound follow-up calls
• Process and document insurance verification, registration, and billing information in the EMR system
• Schedule appointments according to division guidelines and communicate updates and barriers
• Prioritize urgent diagnoses and appointments and escalate when necessary
• Verify insurance eligibility and authorizations and use the Managed Care Manual
• Inform callers of financial responsibility, offer advance collection, and ensure daily cash reconciliation
• Refer patients to Financial Advocates when financial assistance is needed
• Educate callers about appointment preparation and requirements
• Maintain accurate patient account notes and request medical records when necessary
• Review work queues daily, correct issues, and escalate to leadership when necessary
• Respond to and complete staff messages
• Provide support for Cancelled Clinic requests
• Review scheduled appointments for accuracy and provide clinic directions
• Communicate with patients, physicians, and departments about appointment delays or issues
• Achieve team metric standards and expectations
• Maintain strict confidentiality and comply with organizational policies and procedures
• Support Nemours’ mission, vision, and values and raise compliance or ethics issues
• Perform other duties as assigned

Data Analyst

• Query, extract, and analyze data from source systems, data warehouses, and complex relational databases using advanced SQL and analytical scripting tools
• Investigate and interpret data lineage, transformations, and business rules across systems
• Develop custom, one-time or iterative analytical datasets for audits, compliance reviews, operational investigations, and business inquiries
• Validate and reconcile data, identifying anomalies, inconsistencies, and control gaps
• Translate complex business questions into structured analytical approaches
• Document data sources, transformation logic, validation methods, and analytical processes
• Collaborate with analysts, audit, compliance, operational, and technical teams
• Identify and communicate data quality issues, definition inconsistencies, and data capture gaps
• Build reusable queries, scripts, and analytical approaches where appropriate
• Communicate analytical findings, methodology, assumptions, and limitations to technical and non-technical stakeholders
• Perform special projects as requested by the SVP, Audit Services
• Develop relationships with Nemours Associates while remaining independent and objective

Technical Data Analyst

Medical Billing and Coding

• Assess documentation content for hospital and professional services to accurately code principal diagnoses, secondary conditions, procedures, social determinant codes, and drug administration
• Assign codes for multiple encounters or sessions across hospital and professional lines of business on the same date and place of service
• Meet monthly production and quality requirements for procedures and surgeries assigned CPT codes
• Apply code sequencing according to payer-specific rules
• Analyze high-risk encounters for accurate charge capture and identify charge gaps before encounter completion
• Incorporate payer-specific billing trends into daily reviews to reduce take backs
• Facilitate clinical documentation modifications through concurrent interaction to support the level of service rendered
• Code hospital and professional sessions as part of daily work
• Retrieve order diagnosis, patient type, and related information from the hospital information system

Inpatient Hospital Coder

Project Manager

• Lead large-scale, enterprise-wide initiatives with significant strategic impact
• Build integrated project and program structures across multiple objectives, dependencies, and workstreams
• Partner with executive stakeholders to shape project scope, outcomes, governance, and strategic direction
• Drive alignment across clinical, operational, technical, facilities, finance, and vendor teams
• Lead organizational change management efforts supporting adoption, readiness, and sustainable results
• Use data, project health indicators, and risk insights to inform executive governance and prioritization decisions
• Manage project budgets, procurement strategy, SOW development, vendor selection, and third-party partner performance
• Support initiatives involving construction timelines, regulatory requirements, infrastructure needs, and operational readiness
• Mentor and guide junior project managers while modeling PMO standards and continuous improvement

Senior PMO Project Manager

Business Analyst

• Support the implementation, optimization, and ongoing administration of enterprise financial and operational systems, including Oracle Fusion Cloud and Strata
• Serve as a liaison between Information Systems and business stakeholders, translating business requirements into scalable technology solutions
• Perform workflow analysis, reporting, testing, documentation, issue resolution, and system improvement initiatives
• Serve as a functional analyst and subject matter expert for Oracle Fusion Cloud and Strata applications
• Analyze business processes and identify opportunities to improve efficiency, automation, and data quality
• Gather and document requirements with Finance, Supply Chain, Research, Human Resources, and operational departments
• Recommend and support configuration changes, enhancements, and new functionality
• Participate in system upgrades, patch testing, regression testing, and production deployments
• Design, develop, validate, and maintain enterprise reports, dashboards, and analytics
• Support operational, financial, and research grant reporting requirements
• Troubleshoot reporting issues and ensure enterprise data accuracy, consistency, and integrity
• Support implementation and optimization projects related to Oracle Fusion, Strata, supplier management solutions, and related enterprise applications
• Lead or participate in requirements gathering, fit-gap analysis, solution design, testing, training, and go-live support
• Assist with change management, communication planning, and user adoption efforts
• Develop and maintain project documentation, process flows, and training materials
• Provide functional support and troubleshooting assistance for end users
• Research and resolve application issues while coordinating with technical teams and vendors
• Build stakeholder partnerships and advise on system capabilities and best practices
• Participate in change control processes and governance activities

Clinical Documentation Specialist

Program Coordinator

Integration Solutions Engineer – Clinical Data Exchange

Information Security Engineer – Associate

Division Coordinator – Behavior and Development Admin

Executive Recruiter

Access Center Specialist II

Insurance Specialist

Access Center Specialist II

Business Operations Manager

Access Center Specialist II

Technical Data Analyst

Inpatient Hospital Coder

Senior PMO Project Manager

ERP Business Analyst