The University of Kansas Health System

Analyst

• Work with the Director and Assistant Director of Revenue Assurance, Audit, and Advisory Services to develop and perform reviews
• Communicate recommendations and provide education to department leadership and providers based on audit findings
• Perform federal and state regulatory research
• Make presentations to internal and external audiences
• Conduct regular comprehensive audits of internal controls, financial records, legal and regulatory compliance, and health system policies
• Identify compliance issues, assess risks, and recommend solutions
• Analyze and prepare reports on audit findings with recommendations to leadership and providers
• Monitor new laws and regulations affecting health system operations and internal policies
• Perform high-risk/high-dollar audits of clinical, operational, and financial processes for regulatory, payer-policy, and billing accuracy compliance
• Facilitate external government and commercial payer audits, including tracking audits, responding to documentation requests, and appealing denials
• Review and educate HIM coding and billing staff on peer review, coding, and billing rules
• Prepare clear, concise audit workpapers
• Mentor providers and clinical staff on billing and coding compliance
• Follow up with auditees regarding management responses and implementation of recommendations
• Address compliance queries from Medicare, Medicaid, third parties, internal legal counsel, the Hospital Executive office, and other interested parties
• Serve as a billing guidance resource for HIM coding and billing staff
• Conduct meetings with health system leadership and clinicians to review findings and recommendations
• Use audit procedures and analytical tools for special projects
• Research commercial contract requirements and reimbursement logic
• Participate as a subject-matter expert in Revenue Cycle/HITS workgroups

Revenue Assurance Analyst II

Manager

• Negotiate and renegotiate managed care contracts with managed care companies and health plans
• Develop negotiation strategies to achieve health system goals
• Report market opportunities and monitor changes to protect and enhance market share
• Develop and evaluate contract structures for reimbursement, including hospital, physician, ASC, bundled, value-based and capitated models
• Analyze contract requirements, provisions, terms, conditions, rates, proposals and counterproposals
• Meet with health plans and payers and prepare for negotiations and joint operating committee meetings
• Monitor contract performance and compliance, identify problem areas and help resolve disputes
• Coordinate with the contracting team across all entities
• Analyze utilization, revenue trends and financial data to identify contract-operation issues
• Engage payers regarding plan changes and policies
• Develop standard and ad hoc reports for budgeting, revenue projections and long-range planning
• Serve as liaison with Revenue Cycle and operational departments
• Maintain managed care contracts and update stakeholders on renewals, amendments and contract changes
• Build reimbursement models and reports using EPIC, payer portals, Excel and other reporting tools
• Support credentialing and re-credentialing for facilities and professional services
• Establish relationships with physicians, administrators, health plans, senior leaders and other stakeholders
• Participate in committees, team meetings, strategic initiatives and work groups
• Support Strategic Healthcare Solutions recruitment, business development, purchased-services onboarding and customer concerns
• Manage value-based initiatives by analyzing population, quality, efficiency and financial performance data
• Collaborate with quality teams to meet network quality and financial targets
• Serve as department liaison between payer contracting and clinical operations

Manager of Payor and Market Strategy

Data Engineer

• Lead the design, implementation, optimization, and support of complex enterprise data engineering solutions
• Own delivery and operational outcomes for assigned data domains
• Design, implement, and maintain data ingestion, transformation, and orchestration workflows
• Make technical design decisions to ensure scalability, reliability, and performance
• Identify opportunities to integrate AI into engineering workflows and operational processes
• Establish best practices for application lifecycle management, deployment pipelines, source control, and environment governance across the Power Platform
• Lead the design, development, optimization, and governance of enterprise Power Platform solutions, including Power Apps, Power Automate, Power BI, and Copilot Studio
• Design enterprise-grade Power Platform solutions integrating with Azure, Microsoft Fabric, and enterprise systems
• Translate analytics and reporting requirements into production-ready data solutions
• Create and maintain integrated data views across EMR and non-EMR source systems
• Ensure reliability, availability, and performance of data pipelines and platform components
• Anticipate platform changes and assess downstream impact
• Lead resolution of complex incidents and contribute to root cause analysis and preventative improvements
• Design and implement data models for querying, analytics, and reporting
• Organize and enrich data for BI developers and analysts
• Support datasets used for advanced analytics, statistical analysis, and reporting
• Partner with BI developers, Data Integrity teams, and Data Science
• Act as a technical thought partner to Associate and Standard engineers
• Mentor team members and establish reusable development standards

Senior Data Engineer

Nurse

• Manage patient flow, triage, and direct patient care
• Serve as liaison between front desk staff, nursing staff, physicians, and clinic manager
• Manage patient populations by developing expected outcomes, defining resource utilization, and setting patient goals with providers
• Provide nursing support and coordination to optimize patient outcomes and quality of life through clinical and educational programs or support services
• Support patient self-management of disease
• Coordinate continuity of care following hospital admissions, discharges, and ER visits
• Manage high-risk patients, including those with multiple co-morbidities or high readmission risk, including a registry
• Assess physical, psychosocial, financial, and environmental healthcare needs
• Educate patients and ancillary personnel about healthcare needs, safety issues, benefits, medications, nutrition, wellness, and diagnostic procedures
• Document assessments, treatment plans, and progress using EMR
• Observe, record, and report patient conditions and reactions to drugs and treatments
• Maintain and review patient records, charts, test results, and examination results; follow up with patients
• Respond to and refer treatment-related patient phone calls
• Instruct patients and families regarding medications and treatment
• Maintain patient confidentiality
• Perform professional, clinical, and technical competencies of the assigned unit or department

Ambulatory Clinic Nurse Care Coordinator, RN – Spine Center

Physician Assistant

• Ensure efficient patient flow through the healthcare setting with culturally sensitive, exceptional customer service
• Prepare patients for visits and perform limited procedures
• Schedule diagnostic tests and consultations
• Maintain patient records and organize examination rooms
• Maintain supply and equipment inventory
• Assist physicians, nurses, medical staff and interdisciplinary team members
• Schedule tests, obtain films and reports, and prepare laboratory specimens
• Assist with special procedures and examinations
• Coordinate and implement patient care plans with the healthcare team
• Record elements of patient history for clinical staff review
• Submit, call and fax prescriptions and refills to outpatient pharmacies
• Record completed procedure data in forms and medical records
• Maintain medical records and process chart-related forms and correspondence
• Stock examination rooms and complete equipment and safety logs
• Greet and register patients, schedule appointments, process insurance forms and answer phones
• Perform vital signs, height, weight and screening procedures and document results

Medical Assistant – Spine Center

• Manage the practice of professional nursing and delivery of care for non-hospitalized or ambulatory patients
• Provide clinical supervision and direction
• Ensure regulatory compliance and maintain quality and safety outcomes
• Supervise personnel management and development
• Collaborate with department leadership, administration, nursing leadership, and liaison departments
• Achieve business and organizational goals, visions, and objectives
• Participate in clinical nursing research and support health system research activities
• Assist front and back office operations to identify and resolve patient-flow and care-delivery issues
• Manage staffing, personnel structure, productivity, and direction across assigned areas
• Supervise staff, evaluate performance, and conduct selection and termination processes
• Promote staff and self-development and ensure clinical teams work at the top of licensure/responsibility
• Develop patient-care standards, quality-improvement initiatives, safety initiatives, policies, and procedures
• Assess the environment and recommend improvements for patient comfort, safety, and regulatory compliance
• Foster patient and employee satisfaction and promote shared decision-making
• Assist with budget development and monitoring; approve purchases and manage inventory quotes
• Collaborate with ambulatory-care nursing colleagues to optimize nursing-resource utilization

Ambulatory Nurse Manager, RN – Multi-Specialty

Cancer Registrar

• Identify applicable reportable cases for abstract entry according to national and central registry requirements
• Abstract all analytic and non-analytic cases according to Commission on Cancer standards
• Perform annual follow-up review on all active patients
• Interact with patients and designated contacts professionally and discreetly
• Maintain work records, policies, and procedures
• Meet departmental quality, performance, and production standards
• Run software edits to ensure quality and completion of required fields
• Perform quality assurance/performance improvement auditing, tracking, and trending for the required 10% review of analytic cases
• Work with physicians to ensure quality standards and correction processes are met
• Serve as gatekeeper for case finding and distribute cases among registrars
• Complete Missouri and Kansas edits monthly and ensure NCDB edits are accurate and timely
• Run quarterly Infoview reports of staged cases and help maintain QA review spreadsheet calculations/formulas
• Notify Manager and Supervisor of quarterly cases staged for Cancer Committee
• Coordinate and track RQRS/CP3R studies and report progress to Cancer Registry staff and Cancer Committee
• Submit cases accurately and on time
• Contact physician offices when treatment information is missing from the medical record
• Track cancer conference attendance and maintain the compliance reporting grid for the Cancer Committee