Tenet Healthcare

Medical writer

• Initiate and perform concurrent documentation reviews of selected inpatient records to clarify conditions, diagnoses, and procedures where inadequate or conflicting documentation is suspected
• Meet or exceed defined performance standards for chart reviews and queries
• Educate physicians, clinicians, and other involved parties on complete and clear documentation of patient care, including complications and comorbidities
• Use queries, face-to-face communications, and educational programs and tools to improve documentation
• Serve as a resource linking ICD-10-CM coding guidelines and medical terminology to accurate final code assignment
• Follow coding and documentation guidelines to ensure physician and hospital compliance
• Maintain current coding knowledge and participate in educational programs and in-services
• Perform CDI Final Review/DRG Reconciliation and report DRG mismatch disagreements for secondary review
• Perform query reconciliation and monitor query outcomes for performance opportunities
• Support the Coding Department by communicating with physicians regarding open queries and acting as liaison between coding and physicians
• Participate in special projects involving physician documentation accuracy
• Precept and mentor new team members
• Collaborate with the Physician Advisor to identify physician documentation issues, query utilization, and education opportunities
• Maintain hospital and departmental policies, performance improvement, safety, environmental, infection control, confidentiality, and security standards
• Perform other related tasks and responsibilities as assigned

Clinical Documentation Specialist

Analyst

• Configure, maintain, and optimize UKG Pro WFM Scheduling and Clinical Scheduling Extensions modules, including advanced scheduling rules, shift templates, patterns, labor allocation, and patient guidelines
• Partner with field operations to improve staffing, patient outcomes, staff satisfaction, and fiscal responsibility
• Ensure compliance with staff-to-patient ratios, labor laws, healthcare regulations, union rules, and organizational policies
• Support end users by troubleshooting issues, conducting root cause analysis, and ensuring timely resolution
• Collaborate with HR, payroll, operations, and IT teams to align scheduling capabilities with business processes and policies
• Monitor data accuracy, including schedule adherence, timecard exceptions, and system integrations
• Use predictive analytics to forecast staffing needs based on patient workload
• Assist with system upgrades, patches, and feature rollouts, including testing and documentation
• Help develop and maintain user guides, job aids, and training materials; conduct training sessions as needed
• Participate in workforce analytics and reporting initiatives
• Analyze scheduling, time, and attendance data to identify trends, gaps, and operational improvements

UKG Pro WFM Scheduling & Clinical Scheduling Extensions Analyst

Account Manager

• Follow up on accounts receivable activity and resolve patient accounts timely
• Follow up on claim submissions and review remittances for insurance collections
• Create and pursue disputed balances with government and non-government entities
• Conduct collection-related telephone calls with payors and patients
• Navigate multiple computer systems and payer websites to determine account actions
• Document claim status and account actions in the patient accounting system
• Maintain daily productivity and quality standards while managing collectible account inventory
• Research accounts and contact third-party payors or patients by phone, email, or online
• Update plan IDs and patient or payor demographic and insurance information
• Identify payor issues and trends and resolve recoupment issues
• Request additional information and documentation from patients, medical records, and other sources
• Review contracts, identify billing or coding issues, and request rebills, secondary billing, or corrected bills
• Open dispute records and escalate delayed payments or aged accounts to the Supervisor
• Compile data to resolve payer, system, or escalated account issues
• Assist with special projects and communicate findings to leaders
• Train or assist new and existing staff to improve production and quality
• Provide coverage for absent or backlogged team members
• Attend meetings, training seminars, and in-services

Senior Patient Account Representative

Manager

• Manage provider credentialing and re-credentialing
• Understand payer credentialing and identify and resolve complex claims issues
• Work with the National Director of Credentialing to define departmental processes and execute strategic initiatives
• Communicate high-level issues to leadership and remove barriers to progress and implementation
• Liaise between operations, onboarding, Conifer/RCM, managed care, and health plan partners
• Diagnose and resolve claims issues and educate stakeholders
• Oversee credentialing worklists and metrics across Athena and other platforms
• Manage day-to-day relationships and ensure team timelines and Revenue Cycle KPIs are met
• Manage and retrain staff when performance metrics are not met
• Define SOPs for credentialing/claims collaboration, issue resolution, and workflows
• Perform root-cause analysis to resolve claims payment and payment access issues
• Produce and present productivity reports and discuss mitigation plans through resolution
• Elevate health plan relationships and represent TPR physicians with national leaders at major payors
• Provide direct management for reports
• Prioritize credentialing-related RCM issues through resolution before claims become inactive
• Drive claims projects to successful closure and payment
• Support onboarding and acquisition strategies through accurate data submissions and timely project completion
• Lead initial and ongoing team training

Credentialing Manager

Credentialing Specialist

• Work closely with the local market onboarding team on all new providers in the pipeline.
• Request credentialing data and supporting documents from physicians.
• Communicate physician-related delays that may jeopardize project timelines.
• Prepare and/or update provider CAQH applications for newly affiliated and existing healthcare providers.
• Communicate newly affiliated providers to health plans to initiate TIN changes, demographic flips, or credentialing.
• Establish credentialed status to facilitate billing.
• Maintain credentialing databases and up-to-date file process tracking.
• Execute standard operating procedures and communicate issues, trends, and concerns to the Regional Supervisor.
• Identify process improvement opportunities and work with the Regional Supervisor on payor-related challenges.
• Complete workflow items within required turnaround times and quality expectations.
• Resolve billing and collections issues for services rendered.
• Educate internal markets on payor contractual obligations, authorizations, billing requirements, and operational procedures.
• Provide credentialing information to Market Operations.
• Perform data entry, initial credentialing or recredentialing per NCQA, health plan submissions, and UCC credentialing.

Senior Credentialing Specialist, TPR

Supervisor

• Lead the GBC Credentialing team and provide day-to-day oversight of the offshore market team
• Train and onboard FTE, offshore, and contractor team members
• Own credentialing training, education, SOPs, job aids, audit checklists, competency assessments, and the knowledge repository
• Oversee provider onboards, ancillary PIF management, payer packet auditing, non-delegated submissions, expirable management, ECHO builds, payer trackers, and Athena standards
• Directly manage leadership-approved Priority Provider Readiness Program plans through credentialed, enrolled, and billing-ready status
• Conduct coaching sessions, one-on-ones, performance evaluations, and employee growth and succession planning
• Monitor productivity, quality, credentialing pipeline, readiness metrics, SLAs, and workload distribution
• Review audit findings, identify root causes, implement corrective action plans, and provide real-time feedback
• Develop operational reports and dashboards and provide regular reporting to managers and leadership
• Coordinate with Credentialing and Provider Enrollment, Contracting and Network Development, Revenue Cycle, Practice Operations, and Provider Onboarding
• Ensure compliance with NCQA standards, delegated credentialing agreements, CMS regulations, organizational policies, and payer requirements
• Support accreditation reviews and audit activities

Supervisor, Credentialing

Pharmacist

• Provide direct patient-centered care and integrated pharmacy services with physicians, nurses, and other healthcare professionals
• Attend medical rounds for decentralized shifts and document pharmacist interventions
• Assist in developing and implementing facility-specific medication therapy protocols, guidelines, and reference documents
• Conduct Medication Use Evaluations and support pharmacotherapy practice changes
• Support Staff Pharmacists and perform general Staff Pharmacist responsibilities as needed
• Oversee pharmacy technicians, pharmacy students, and pharmacy interns
• Integrate pharmaceutical care programs and medication therapy management throughout the institution
• Assist department leaders with compliance with TJC, FDA, CDPH, CMS, CABoP, and ISMP standards
• Contribute to pharmacy department research for students and residents
• Educate and train physicians, nurses, pharmacy technicians, students, and other healthcare professionals on medication use
• Maintain professional competence through staff development, independent study, and professional activities
• Practice pharmacy in accordance with applicable regulations and pharmacy policies
• Establish professional relationships with colleagues, physicians, and other care providers
• Support department operations and professional development
• Assist Pharmacy Management with formulary optimization and therapeutic substitutions

Clinical Coordinator – Pharmacist

Customer Support

• Answer inbound customer service calls related to patient accounting questions
• Make outbound follow-up calls on outstanding accounts when inbound call volumes are low
• Answer calls promptly without drops or abandons
• Identify callers’ reasons for contact and assist with questions, concerns, or problems
• Focus on first-call resolution
• Facilitate resolution by referring matters to issue/content experts
• Escalate matters to supervisors, request appropriate information, or take appropriate action
• Work in a call center environment with a headset and multiple nearby workstations
• May interact directly with patients in a hospital environment
• Perform other duties as assigned

Customer Service Representative

Business Intelligence Developer

• Design, develop, and maintain BI solutions, including reports, dashboards, and metrics using Power BI, MS Fabric, Power Automate, Google BigQuery, SQL, and other enterprise reporting tools
• Ensure data quality, security, and integrity through data analysis, test design, validation, documentation, and proactive quality measures
• Analyze and optimize complex data systems; document data elements, flows, relationships, and dependencies
• Perform root cause analysis to identify improvement opportunities
• Stay current with BI trends and innovations and explore emerging tools and practices
• Work with data and analytics experts to improve functionality in data systems
• Attend weekly check-ins with the Manager on performance and objectives
• Participate in feedback, problem-solving, development activities, and special projects as needed

BI Developer Intern

• Plan and conduct in-person visits to proceduralist physician offices to increase selection of centers
• Evaluate physician referral patterns and trends for market facilities' service lines
• Develop business development strategies for target markets and services with business development and operational leaders
• Research assigned providers and their facility-selection decisions and relationships with ASCs and hospitals
• Conduct face-to-face sales meetings explaining center attributes, specialty capabilities, processes, patient experience, and safety outcomes
• Conduct follow-up meetings with physicians and practice managers to understand needs and growth obstacles
• Communicate client feedback and partner with facility resources on physician credentialing, onboarding, and issue resolution
• Prepare and present sales reports measuring case volume growth, trends, lessons learned, opportunities, and improvement areas
• Modify and execute business development tactics based on provider and facility leader feedback
• Maintain current knowledge of the hospital, ambulatory surgery, and provider landscape
• Document client engagement and follow-up in the CRM tool daily
• Support service-line expansion, extended hours, case cancellation recapture, and related initiatives
• Perform duties according to company policies, procedures, and ethical standards

Partnership Manager

• Plan and conduct in-person visits focused on proceduralist physician offices
• Increase selection of USPI centers for procedures and grow potential case volumes
• Evaluate physician referral patterns, trends, and market dynamics
• Develop business development strategies with business development and operational leaders
• Research providers and their facility-selection decision-making
• Conduct face-to-face sales meetings explaining center attributes, specialty capabilities, processes, patient experience, and safety outcomes
• Conduct follow-up meetings with physicians and practice managers to understand needs and growth obstacles
• Communicate client feedback and partner with facility resources on physician credentialing and onboarding
• Resolve provider issues to increase practice at USPI centers
• Prepare and present sales reports measuring case volume growth, trends, opportunities, and improvements
• Modify and execute business development tactics based on provider and facility-leader feedback
• Maintain knowledge of the hospital, ambulatory surgery, and provider landscape
• Document client engagement daily in the defined CRM tool
• Support service-line expansion, extended hours, case cancellation recapture, and related initiatives
• Perform duties in accordance with ethical standards and company policies

• Organize and manage daily operational activities for athenaCollector, including application monitoring, configuration, troubleshooting, and issue resolution
• Serve as a primary point of contact for customer requests, incidents, and application support
• Provide timely status updates and clear communication
• Configure and maintain athenaCollector administrative tables, billing settings, fee schedules, allowable schedules, contracted rates, providers, departments, insurance packages, and medical groups
• Support provider and department onboarding, offboarding, and configuration changes
• Create, update, test, and implement application dictionaries, tables, claim rules, billing rules, and workflow configurations
• Investigate and resolve claim, payment, denial, remittance, unpostable, accounts receivable, and patient balance workflow issues
• Maintain charge, fee, and contracted-rate information across athenaCollector and connected systems
• Support claim submission and denial-prevention workflows
• Coordinate payment posting, remittance, credit balance, underpayment, zero-pay, and unapplied-credit issue resolution with revenue cycle teams and athenahealth
• Assist with payer enrollment, provider number, department, insurance package, and credentialing-related configuration issues
• Monitor interfaces, integrations, and inbound or outbound transactions; troubleshoot routing or data issues
• Collaborate with revenue cycle teams, application teams, business owners, market leadership, end users, vendors, and support partners
• Participate in application testing, release readiness, upgrades, implementations, workflow improvements, and adoption of consistent practices
• Document configurations, procedures, decisions, issue resolutions, and user guidance
• Provide application education, knowledge transfer, and end-user support
• Participate in a rotating on-call support schedule
• Perform other duties as assigned

Application Analyst

• Manage a docket of complex medical malpractice and general liability claims for acute hospitals and employed providers
• Oversee insured litigation defense from incident reports and investigation through notice of claim, suit, discovery, mediation, settlement, arbitration, or trial
• Work with hospital administration, risk managers, or patient safety managers to collect and review incident reports, medical records, billing records, and co-defendant contracts
• Escalate important incidents to leadership
• Retain and direct defense counsel
• Assist counsel with witness coordination and discovery responses
• Monitor claims and supervise counsel to ensure timely litigation strategy, including answers, expert retention, dispositive motions, mediations, and trial preparation
• Evaluate cases for reserve adjustments and prepare reports for the VP/AGC and senior leadership
• Attend mediations as organizational negotiator and attend trials to monitor and adjust strategy
• Prepare reports for insurance carriers
• Meet regularly with the VP/AGC for Litigation regarding high-risk claims
• Perform other duties as assigned

Litigation Manager

Procurement

• Own end-to-end procurement execution across a multi-site market of 50 to 100 facilities
• Translate enterprise initiatives into repeatable, field-executable processes
• Lead market-level procurement and supply chain performance improvement initiatives
• Partner with MCFOs and MCSOs to align procurement strategies with EBITDA targets and service line growth priorities
• Ensure facility adherence to procurement standards, GPO compliance, preferred vendor alignment, and capital approval guardrails
• Drive adoption of standardized supply and capital templates
• Serve as market escalation point for new technologies, vendor performance, pricing discrepancies, and contract execution issues
• Use enterprise scorecard metrics to drive actions, accountability, and interventions
• Lead market and facility-level materials management performance reviews
• Foster continuous performance and process improvement
• Lead procurement execution for de novos, acquisitions, and facility expansions
• Partner with Development, Clinical Operations, Facilities, and Market Leadership to streamline procurement training and remove execution barriers
• Onboard and integrate new facilities into USPI procurement systems, contracts, and operating standards
• Provide leadership and oversight to Materials Managers and Materials Management teams
• Exercise indirect leadership over up to 100+ Materials Management FTEs
• Support hiring, onboarding, and development of Materials Management talent
• Establish operating rhythms, communication cadences, and procurement governance structures
• Liaise between Tenet/USPI Corporate Procurement, market leadership, and facility operators
• Communicate progress, risks, and opportunities to senior leadership

Director, Procurement – Southeast

Business Development Rep

• Plan and conduct in-person visits to specialist physician offices and EMS providers throughout the defined market service area
• Evaluate physician referral patterns and trends for market service lines
• Develop business development strategies with operational and medical leaders
• Research assigned providers and understand hospital-selection decision-making
• Conduct face-to-face sales meetings with clients
• Conduct follow-up meetings with physicians and practice managers to understand needs and growth obstacles
• Communicate client feedback and partner with market/hospital resources to resolve issues
• Prepare and present sales reports identifying trends, lessons learned, opportunities, and improvement areas
• Modify and execute business development tactics based on client and facility-leader feedback
• Maintain current knowledge of the health system, hospital, and provider landscape
• Document client engagement daily in the defined CRM tool
• Support network-development initiatives directed by the Group Vice President and/or CSO
• Perform duties according to high ethical standards and company policies

Clinical Documentation Specialist

UKG Pro WFM Scheduling & Clinical Scheduling Extensions Analyst

Senior Patient Account Representative

Credentialing Manager

Senior Credentialing Specialist, TPR

Supervisor, Credentialing

Clinical Coordinator – Pharmacist

Customer Service Representative

BI Developer Intern

Partnership Manager

Partnership Manager

Application Analyst

Litigation Manager

Director, Procurement – Southeast

Business Development Manager