Tufts University School of Dental Medicine

Analyst

• Analyze healthcare member attribution files from commercial, Medicare, and Medicaid health plans
• Validate attribution methodologies and ensure accurate patient-to-provider assignments
• Monitor attribution trends, member movement, and panel size changes across provider networks
• Perform data quality control audits and reconcile attribution rosters with payer-provided files
• Develop reports and dashboards tracking attributed lives, provider performance, and population health metrics
• Collaborate with care management, quality, finance, and contracting teams to support value-based care programs
• Investigate attribution discrepancies and coordinate resolution with payers and internal stakeholders
• Support annual and quarterly attribution reconciliation processes
• Use SQL, Excel, and business intelligence tools to analyze large healthcare datasets
• Generate insights regarding patient leakage, provider alignment, network utilization, and member engagement
• Maintain documentation of attribution methodologies, business rules, and reporting processes
• Assist with forecasting and strategic planning related to attributed populations and risk contracts
• Identify and execute performance improvement and quality opportunities across the enterprise
• Partner with business leaders to provide expert insight on existing processes and procedures
• Apply process improvement methodologies to achieve performance improvement and quality objectives

Attribution Analyst

Risk

• Perform accurate and timely reviews and validations of Medicare, Medicaid, Commercial HCCs, and DxCGs through medical record reviews
• Review provider documentation and verify ICD-10-CM coding against coding standards and CMS and Commercial Risk Adjustment guidelines
• Evaluate HCC/DxCG coding practices and provide analyses and recommendations to improve provider documentation
• Review medical records to verify ICD-10-CM and CPT codes accurately reflect provider documentation
• Summarize audit findings for internal and external parties and provide provider education
• Audit medical records for LCO groups and network providers to ensure diagnosis and CPT coding accuracy
• Evaluate records for authorized providers, face-to-face CPT codes, signatures, and other technical requirements
• Track audit results, identify trends, and recommend corrective actions
• Collaborate with leadership, staff, and vendors to identify and submit coding adjustments
• Provide education and feedback to physicians and network providers on risk adjustment and coding guidelines
• Interpret coding guidelines and CMS regulations for leadership
• Research and resolve coding and risk adjustment regulatory issues
• Work retrospective/concurrent audit reports to close diagnosis gaps
• Perform pre-visit chart reviews and provider outreach
• Present recommendations and coding issue findings to key internal staff and leadership

Risk Adjustment Consultant

• Manage individual employee leave cases from initiation through closure
• Review leave requests, eligibility, accrued leave balances, and documentation
• Serve as the primary point of contact for employees throughout the leave process
• Coordinate with healthcare providers, legal teams, HR, managers, state agencies, and carriers
• Upload documentation to the Massachusetts Department of Family and Medical Leave portal and respond to inquiries
• Monitor leave timelines, case progression, extensions, claims, and return-to-work plans
• Complete timekeeping and absence records in Workday and/or UKG Timekeeping
• Respond to inquiries regarding leave usage, coding, pay, eligibility, and benefits
• Maintain accurate leave case records for auditing and reporting
• Support smooth employee return-to-work transitions and update return-to-work dates
• Escalate complex, overlapping, or accommodation-related cases
• Meet service-level agreements for case processing, documentation turnaround, and employee communication

Leave Case Analyst

Per Diem

• Perform mammography exams and procedures on assigned patients according to department policies, ACR/MQSA standards, and hospital standards
• Perform exams safely, accurately, and timely to support radiological diagnosis
• Verify patients and procedures
• Provide clear and accurate instructions to patients
• Verify and perform correct imaging protocols, procedures, and scanner parameters
• Ensure patient and staff safety when using equipment
• Participate in ongoing education and training
• Perform quality control on equipment and devices
• Communicate with staff and departments to coordinate patient care
• Maintain supply stock and request replenishment when necessary
• Keep work areas clean and functional according to DPH and The Joint Commission standards
• Work cooperatively across departments and service lines to support quality healthcare

Per Diem Mammography Technologist

Therapist

• Evaluate, develop, and implement physical therapy treatment programs for individual patients
• Treat pediatric, adolescent, geriatric, and general patient populations
• Assess patient pain and develop treatment plans to achieve maximum functional outcomes
• Establish short- and long-term goals and plans of care across musculoskeletal, neuromuscular, cardiopulmonary, and integumentary systems
• Involve patients and families in the plan of care and provide education
• Supervise and educate students and evaluate student performance
• Maintain timely medical-record documentation for all patients treated
• Contribute to efficient and cost-effective department operations and follow billing guidelines
• Prepare the department for JCAHO surveys and participate in CQI activities
• Attend rounds, team meetings, case conferences, staff meetings, and professional education events
• Collaborate with interdisciplinary healthcare teams, patients, and families on safety and discharge planning
• Coordinate clinic staffing, monitor and distribute referrals, and manage a patient caseload
• Provide rotating weekend and holiday coverage as operationally needed

Attribution Analyst

Risk Adjustment Consultant

Leave Case Analyst

Per Diem Mammography Technologist

Outpatient Physical Therapist, New Grads Welcome