1,214 Ambulatory Support Analyst jobs in the United States

**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** 501 Place Bldg
**Location:** Fargo, ND
**Address:** 501 4th St N, Fargo, ND 58102, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $26.00 - $1.50
**Pay Info:** Pay starts at 26 and increases according to years of applicable experience.
**Job Summary**
Gather, analyze, design, develop, modify, test, implement, evaluate, and maintain clinical information technologies to support clinical practice. Use data to support clinical decision-making and identify desired outcomes. Able to research, analyze and make recommendations for application work flow improvements and create and analyze reports created using multiple reporting mechanisms. Utilize Tier Two/high level of customer service while promoting and participating in the team approach.
Possess strong problem solving and critical thinking skills, as well as excellent time management and prioritization skills. Training presentation techniques and skills. Proficient verbal and written communication skills and efficient use of Microsoft Office software. A positive attitude and superior customer service skills.
Skill level needed to become proficient in Sanford assigned applications as well as a basic knowledge of other Sanford applications. Demonstrate basic knowledge and support of Information Technology Infrastructure Library (ITIL) philosophies in daily work. Skillful in adapting to change. Adjusts to new or changing assignments, processes, and people. Identifies and considers alternative approaches to situations or problems. A willingness to maintain active knowledge in area of specialty in order to maintain current clinical practice and end user perspectives.
**Qualifications**
Minimum of an Associates Degree in a clinical field or at least three years of clinical experience in their specialty preferred.
Previous experience in Information Technology is preferred.
Depending upon location, be licensed/registered/certified in a clinical field within Sanford's footprint. Information Technology (IT) certification should be obtained within six months of date of hire. IT certification must be completed within three attempts of certification testing.
Electronic Privacy Information Center (EPIC) application certification and truth should be obtained within six months of hire date. Renewal guidelines per discipline.
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Information Technology
**Featured:** No

**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** 3801 Building
**Location:** Bemidji, MN
**Address:** 3801 Bemidji Ave N, Bemidji, MN 56601, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $26.00 - $1.50
**Pay Info:** Pay starts at 26 and increases according to years of applicable experience.
**Job Summary**
Gather, analyze, design, develop, modify, test, implement, evaluate, and maintain clinical information technologies to support clinical practice. Use data to support clinical decision-making and identify desired outcomes. Able to research, analyze and make recommendations for application work flow improvements and create and analyze reports created using multiple reporting mechanisms. Utilize Tier Two/high level of customer service while promoting and participating in the team approach.
Possess strong problem solving and critical thinking skills, as well as excellent time management and prioritization skills. Training presentation techniques and skills. Proficient verbal and written communication skills and efficient use of Microsoft Office software. A positive attitude and superior customer service skills.
Skill level needed to become proficient in Sanford assigned applications as well as a basic knowledge of other Sanford applications. Demonstrate basic knowledge and support of Information Technology Infrastructure Library (ITIL) philosophies in daily work. Skillful in adapting to change. Adjusts to new or changing assignments, processes, and people. Identifies and considers alternative approaches to situations or problems. A willingness to maintain active knowledge in area of specialty in order to maintain current clinical practice and end user perspectives.
**Qualifications**
Minimum of an Associates Degree in a clinical field or at least three years of clinical experience in their specialty preferred.
Previous experience in Information Technology is preferred.
Depending upon location, be licensed/registered/certified in a clinical field within Sanford's footprint. Information Technology (IT) certification should be obtained within six months of date of hire. IT certification must be completed within three attempts of certification testing.
Electronic Privacy Information Center (EPIC) application certification and truth should be obtained within six months of hire date. Renewal guidelines per discipline.
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Information Technology
**Featured:** No

**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** Stevens Center Building
**Location:** Sioux Falls, SD
**Address:** 900 East 54th St N, Sioux Falls, SD 57104, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Salary Range:** $26.00 - $1.50
**Pay Info:** Pay starts at 26 and increases according to years of applicable experience.
**Job Summary**
Gather, analyze, design, develop, modify, test, implement, evaluate, and maintain clinical information technologies to support clinical practice. Use data to support clinical decision-making and identify desired outcomes. Able to research, analyze and make recommendations for application work flow improvements and create and analyze reports created using multiple reporting mechanisms. Utilize Tier Two/high level of customer service while promoting and participating in the team approach.
Possess strong problem solving and critical thinking skills, as well as excellent time management and prioritization skills. Training presentation techniques and skills. Proficient verbal and written communication skills and efficient use of Microsoft Office software. A positive attitude and superior customer service skills.
Skill level needed to become proficient in Sanford assigned applications as well as a basic knowledge of other Sanford applications. Demonstrate basic knowledge and support of Information Technology Infrastructure Library (ITIL) philosophies in daily work. Skillful in adapting to change. Adjusts to new or changing assignments, processes, and people. Identifies and considers alternative approaches to situations or problems. A willingness to maintain active knowledge in area of specialty in order to maintain current clinical practice and end user perspectives.
**Qualifications**
Minimum of an Associates Degree in a clinical field or at least three years of clinical experience in their specialty preferred.
Previous experience in Information Technology is preferred.
Depending upon location, be licensed/registered/certified in a clinical field within Sanford's footprint. Information Technology (IT) certification should be obtained within six months of date of hire. IT certification must be completed within three attempts of certification testing.
Electronic Privacy Information Center (EPIC) application certification and truth should be obtained within six months of hire date. Renewal guidelines per discipline.
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-
**Job Function:** Information Technology
**Featured:** No

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
The Clinical Analyst role on the CVS Clinical Account Services team is a great opportunity for an individual with analytical interest to use their skills in a managed care pharmacy environment. The individual will collect, analyze, and present clinical data. The individual will evaluate healthcare information from different sources to identify trends and business insights. The individual will utilize data tools to help the Clinical Advisors (Pharmacists) respond to data requests and support strategic clinical consultation to our client(s). The Clinical Analyst will work on data requests primarily to support our Health Plan Clinical Advisors. This will include analyzing client data requests, regulatory requests, benefit documents, utilization management edits (prior authorization, quantity limits, step therapy, etc.), operational data, clinical programs and utilization management operational support. The Clinical Analyst will collect data and translate this information into the appropriate data request format, consult with account teams and client contacts to fully understand client requests, and work with internal partners to ensure the pharmacy benefit data is accurately represented per the request specifications.
**Responsibilities:**
-Supports clinical advisors to help meet client reporting requirements, including: utilization, disruption, maintenance of business, formulary coverage, drug spend, and fraud, waste, and abuse.
- Supports clinical advisors on data needed to support regulatory requests
- Supports internal partners to maintain formulary documentation
- Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests
- Provides consultative analysis of results and suggests additional analysis, if appropriate
- Supports internal partners to confirm reporting and analyses are accurate and meet client intent
Supports clinical operational needs, such as criteria and utilization management submission requirements
- Supports special projects and work groups as needed to improve efficiencies and client satisfaction
- Proactively suggests solutions and integrates best practices across multiple accounts and lines of business
- Suggests and creates innovative solutions for improving existing process flows
- Leverages pre-built and self-built tools to support Clinical Advisor data manipulation and interpretation needs
- Design and develop customized solutions to meet client needs, including driving accuracy, clarity, efficiency, and automation
- Work collaboratively with CVS Health clients during virtual meetings using a client-centered approach
- Provide guidance and best practices for available tools and existing processes
- Utilize proprietary systems, reporting tools and software (RxNavigator, RxArchitect, iTools, Tableau, Salesforce, Sharepoint, etc.) to generate necessary client reporting and conduct research
**Required Qualifications**
- 2 years of work experience in a health plan, PBM, Pharmacy, benefits, or insurance background
- 3 years of experience in Microsoft Office suite including proficient skills utilizing Outlook, Access, Word, Excel, and PowerPoint
**Preferred Qualifications**
- Not a licensed pharmacist position
- Pharmacy experience preferred
- Pharmacy Technician certification preferred
- Project Management Experience
- Strong Microsoft Office skills with an emphasis in Excel and/or Access
- 3+ years of experience in client/customer service-based environment
- Excellent communication and organization skills (able to track and handle issues, ensure the right teams are engaged, facilitate comprehensive and timely issue resolution, etc.)
- Excellent time management and multitasking skills (able to work independently and effectively manage workload)
- Strong attention to detail
- Strong analytical, and presentation skills
- Excellent knowledge of Prescription Benefit Management (PBM) industry preferred
**Education**
High School Diploma or GED required; Bachelor's degree
preferred
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $85,068.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Senior Clinical Analyst – Oracle HDI & Payer Analytics

Department:

Clinical Analytics

Position Summary:

The Senior Clinical Analyst serves as a strategic analytics leader focused on delivering actionable clinical and payer insights using Oracle Health Data Intelligence (HDI). This role supports key initiatives in value-based care performance, quality measure reporting, and predictive analytics, enhancing care delivery and financial outcomes. The analyst partners closely with clinical leadership, payer strategy teams, informatics, and enterprise IT to ensure the timely, accurate, and insightful delivery of data across the system.

Core Responsibilities:

1. Analytics Delivery (60%)

• Develop, maintain, and optimize clinical and payer dashboards using Oracle HDI tools (HealtheAnalytics, HDW, OAC).
• Design analyses that support quality performance (e.g., CMS Stars, HEDIS, MIPS), clinical operations, and cost-of-care improvement.
• Translate complex datasets into concise visualizations, supporting executive, physician, and operational decision-making.
• Lead root cause analyses for quality gaps, cost variation, and utilization trends, integrating claims, EMR, and SDOH data sources.

2. Subject Matter Expertise in HDI (20%)

• Serve as a subject matter expert on Oracle HDI platform capabilities, including standard registries, measure catalogs, and data modeling workflows.
• Collaborate with Oracle and consultants to test, validate, and deploy HDI content, including performance dashboards and payer contract tracking metrics.
• Partner with HDI administrators to manage access, user onboarding, and change requests across clinical domains.

3. Payer and Regulatory Reporting (10%)

• Support development and validation of payer extract files to meet contract and care gap closure requirements.
• Provide metric validation and performance monitoring for CMS and state programs (e.g., MIPS, Medicaid Quality).

4. Cross-functional Collaboration & Governance (10%)

• Actively participate in the Data & Metric Stewardship Workgroup, contributing to definitions, documentation, and governance of clinical and payer metrics.
• Work with end users on best practices for healthcare analytics, clinical data integrity, and visual storytelling.
• Support internal training sessions to drive adoption of HDI tools across clinical and operational teams.

Required Qualifications:

• Bachelor’s degree in health informatics, public health, biostatistics, data science, or related field (Master’s preferred).
• Minimum 5 years of experience in clinical or payer analytics within a healthcare system or payer organization.
• Advanced proficiency with Oracle HDI (HealtheAnalytics, HDW/OAC), SQL, Tableau or similar visualization tools.
• Strong understanding of healthcare quality programs (HEDIS, CMS Stars, MIPS, eCQMs) and value-based care models.
• Demonstrated ability to lead cross-functional analytics initiatives with minimal supervision.

Preferred Qualifications:

• Familiarity with payer contracting data and attribution logic.
• Exposure to automated data validation techniques or analytics in clinical environments.

**Description**
Hourly Wage Estimate: $25.99 - $8.98 / hour
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
**Introduction**
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as an IPAT Clinical Analyst? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated IPAT Clinical Analyst like you to be a part of our team.
**Job Summary and Qualifications**
The IPAT Clinical Analyst will review post discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that require clinical expertise. Communicates with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents all communications and action taken on the account in accordance with policies and procedures. Escalate medical review request and /or denial activities to management as needed.
**What you will do in this role:**
+ Work post discharge, prebill accounts efficiently and effectively daily to resolve accounts with "no auth numbers, ALOS vs. authorized days or other discrepancies.
+ Evaluates clinical documentation on multiple patient accounts and escalates issues through the established channels.
+ Perform accurate and timely documentation of all review activities based on policy and procedure.
+ Demonstrates a working knowledge of managed care agreements based on available resources which may include and not be limited to payer UM Manual, policy and procedure, facility contract information.
+ Escalates variations timely.
+ Work assigned accounts in eRequest to resolve outstanding issues.
+ Report insurance denial trends identified during daily operational assignments.
+ Contact facilities, physicians' offices and/or insurance companies to resolve denials/appeals if needed.
+ Demonstrates knowledge of regulatory requirements, Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives.
+ Assess CPT code(s) for outpatient accounts that require authorization when accounts have not been coded.
**Qualifications that you will need:**
+ Registered Nursing degree and current licensure or Vocational nursing degree required.
+ Healthcare experience in an acute care hospital. Utilization Review, appeals, denials, managed care contracting, experienced preferred.
+ Currently licensed as a registered nurse (RN) in the state(s) of practice and/or has an active compact license, in accordance with law and regulation or Licensed Practical Nurse Currently licensed as a licensed practical nurse in the state in which he or she resides and practices, in accordance with law and regulation.
+ Multi-state nursing licensure for compact states.
**Parallon ( provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $ .7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our IPAT Clinical Analyst opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Description**
**Introduction**
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Senior Clinical AnalystHCA Healthcare
**Benefits**
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
We are seeking a Senior Clinical Analyst for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
Reporting to the Manager, Expanse Clinical Documentation Team this individual will:
+ Design, test, implement, support, maintain, and/or evaluate new Expanse EHR to support patients, and health care professionals.
+ Apply health-related, discipline specific knowledge (e.g., clinical care, healthcare operations) to health information technology systems.
+ Serve as Subject Matter Expert on any requests for new templates or changes in existing content
+ Manage, track, and document clinical reviews of new content by physician leaders and other clinicians
+ Present data formally and informally and facilitate discussion regarding physician ordering and documentation
+ Jointly, with the help of management, to create quality deliverables and meet stated milestones
+ Work with ITG Product Development to assure projects and ongoing maintenance/operations occur on schedule
+ Work with ITG Product Development and CSG SMEs to assure end-user education and communication to the field is well documented
+ Facilitate, lead and document working sessions where operational workflow items are discussed to understand the impact physician ordering and documentation
+ Participate in HCA-wide work teams to identify best practices and determine options and opportunities for optimization in physician ordering and documentation activities
+ Provide continual operational support to field operations teams, assisting in troubleshooting issues when necessary and in a timely manner.
+ Support collaboration of multiple disciplines and working relationships with corporate departments, divisions, and facility leaders.
+ Cross-coordinate with other HCA solutions or projects, and work with other analysts/specialists/coordinators, leadership, and stakeholders
+ Support project teams in integrating physician ordering and documentation activities into their project plans
+ Research new data sources and analytical tools; contribute to new product development and improvement in product delivery and presentation
+ Ability to participate in multiple activities and tasks simultaneously
+ Ability to adapt to a rapidly changing environment
**MAJOR RESPONSIBILITIES**
% Time Description
50% - These activities will include but not be limited to:
Operations
+ Manage existing nursing & physician documentation templates and evidence-based order sets (EBOS) to assure that they are up-to-date, accurate, and efficient
+ Working with ITG, undertake scheduled template maintenance and develop new templates
+ Monitor usage to identify opportunities to improve templates
+ Work within entire organization to proactively communicate items related to physician ordering and documentation activities
+ Obtain field feedback on usage activities to continuously improve department's outputs
+ Use and understand EHR workflow functions
+ Assist team to organize projects using generally accepted project management standards
+ Support physician ordering/documentation activities of the CSG EHR through participation in team meetings and documentation of work flows
50% - Other
+ Work on other activities, as necessary, to support CSG & Clinical Informatics strategy.
+ Participate in CI Systems Governance & Operations team meetings and projects
+ Represent CI Systems Governance & Operations in multi-disciplinary meetings
+ Attend key operational meetings and document attendees, discussion topics, and outcomes
**EXPERIENCE**
+ 5-7 years
Other preferred/required experience:
**PREFERRED:**
+ Hospital clinical experience.
+ Experience with EHRs (Meditech, EPIC, Cerner, etc) documentation and ordering functionality & content. Bonus if Meditech Expanse experience
**EDUCATION:**
+ College Graduate Required Undergrad
+ If NO college degree than 4 additional years of relevant experience is required
**SPECIAL QUALIFICATIONS**
+ Exceptional communication skills - both written and verbal
+ Able to work effectively with leaders at all levels in an organization
+ Excellent active listening skills
+ Problem solving using analytical and critical thinking
+ Root cause identification skills
+ Ability to understand and learn clinical and technology workflows
+ Excellent organizational skills
+ Advanced computer skills and advanced skills in the use of Microsoft Office suite of products
+ Ability to learn how to navigate Meditech and other CSG systems
**Travel required:**
+ Some travel required, generally less than 25%
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Senior Clinical Analyst opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Description**
Hourly Wage Estimate: $25.99 - $8.98 / hour
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
**Introduction**
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as an IPAT Clinical Analyst? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated IPAT Clinical Analyst like you to be a part of our team.
**Job Summary and Qualifications**
The IPAT Clinical Analyst will review post discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that require clinical expertise. Communicates with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents all communications and action taken on the account in accordance with policies and procedures. Escalate medical review request and /or denial activities to management as needed.
**What you will do in this role:**
+ Work post discharge, prebill accounts efficiently and effectively daily to resolve accounts with "no auth numbers, ALOS vs. authorized days or other discrepancies.
+ Evaluates clinical documentation on multiple patient accounts and escalates issues through the established channels.
+ Perform accurate and timely documentation of all review activities based on policy and procedure.
+ Demonstrates a working knowledge of managed care agreements based on available resources which may include and not be limited to payer UM Manual, policy and procedure, facility contract information.
+ Escalates variations timely.
+ Work assigned accounts in eRequest to resolve outstanding issues.
+ Report insurance denial trends identified during daily operational assignments.
+ Contact facilities, physicians' offices and/or insurance companies to resolve denials/appeals if needed.
+ Demonstrates knowledge of regulatory requirements, Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives.
+ Assess CPT code(s) for outpatient accounts that require authorization when accounts have not been coded.
**Qualifications that you will need:**
+ Registered Nursing degree and current licensure or Vocational nursing degree required.
+ Healthcare experience in an acute care hospital. Utilization Review, appeals, denials, managed care contracting, experienced preferred.
+ Currently licensed as a registered nurse (RN) in the state(s) of practice and/or has an active compact license, in accordance with law and regulation or Licensed Practical Nurse Currently licensed as a licensed practical nurse in the state in which he or she resides and practices, in accordance with law and regulation.
+ Multi-state nursing licensure for compact states.
**Parallon ( provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $ .7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our IPAT Clinical Analyst opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Description**
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Entity: Corporate
Department: IS-Epic (Inpatient Specialty team)
Location: 3535 Market, Philadelphia
Hours: (must live reasonable distance from location) Remote, M-F, 8 am - 4:30 pm
Penn Medicine is looking for an Application Analyst at the Senior, Mid, or Associate level, OR, a Clinical Analyst at the Senior, Mid, or Associate level for (Information Services, Epic Focus, Inpatient Specialty)!
**Senior Application Analyst:**
The Senior Application Analyst is responsible for enhancing, supporting, and maintaining an application within the UPHS health system. Responsibilities include; providing instruction on various technical topics to other team members, managing an application project through the entire project life cycle while meeting project deadlines and initiatives. Coordinating the development of new functionality, testing and implementing scheduled vendor releases and system upgrades, and fixing system defects. Serve as the resource for other application team members on technical and functional application analysis, defining system requirements, and developing logical data models using best practices for build and configuration, maintenance and data integrity. Work with cross functional teams and UPHS clients by providing education on system functionality, and configuration of new tools to increase end user productivity within the application. Ensure system changes follow change management procedures and protocols, create and maintain all documentation for all assigned applications, and develop, plan and execute testing for supported applications. Communicates all necessary application changes, enhancements, and procedures to all necessary internal department teams.
**Accountabilities:**
Participates in an application project by setting clear goals and objectives, and completing tasks in a timely manner.
Manages project plan, monitors tasks and milestones and reports project changes/status to Lead Application Analyst.
Works with the Lead Application Analyst to develop new policies and procedures relating to system design, enhancements, change control, and maintenance of the application.
Participates in new hire application training, mentoring and instruction on internal processes and educates application analysts on various projects; including testing, documenting, and configuration within the application.
Interprets and analyzes complex workflow/system requirements in order to design, configure, test and implement application solutions.
Defines system requirements, and develops logical data models using best practices for build and configuration, maintenance and data integrity.
Creates and maintains all documentation for assigned applications in order to establish standards for configuration and enhancements within the application.
Develops, and executes test plans that are comprehensive and inclusive of application functionality changes and/or enhancements to ensure successful outcomes.
Participates in system upgrades and scheduled vendor releases as requested to enhance the application and meet project objectives.
Works with the Lead Application Analyst to develop departmental standards regarding change control to ensure accurate data tracking and monitors change process by maintaining current protocols and reporting any problems to appropriate personnel.
Works independently on complex projects completing within the designated timeframe and under minimal guidance.
Provides ongoing support and maintenance as assigned.
Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
Other duties as assigned to support the unit, department, entity, and health system organization.
**Application Analyst:**
Responsible for enhancing, supporting, and maintaining an application within the UPHS health system. Responsibilities include optimization of the application through development of new functionality, testing and implementing scheduled vendor releases and system upgrades, and fixing system defects. Provide technical and functional application analysis, define system requirements, and develop logical date models using best practices for build and configuration, maintenance and data integrity. Works with cross functional application teams and UPHS clients by providing education on system functionality, and configuration of new tools to increase end user productivity within the application. Ensure system changes follow change management procedures and protocols, create and maintain all documentation for all assigned applications, and develop, plan and execute testing for supported applications. Communicates all necessary application changes, enhancements, and procedures to all necessary internal department teams.
**Accountabilities:**
Develop a thorough understanding of UPHS EMR applications.
Understands their role in the process.
Ensures all regulatory requirements are met.
Comply with all applicable guidelines, policies and procedures of IS and UPHS to ensure necessary controls, documentation and audit trails.
Interprets and analyzes workflow/system requirements in order to design, configure, test and implement application solutions.
Assists in defining system requirements, and develops logical data models using best practices for build and configuration, maintenance and data integrity.
Create and maintains all documentation for assigned applications in order to establish standards for configuration and enhancements within the application.
Executes test plans that are comprehensive and inclusive of application functionality changes and/or enhancements to ensure successful outcomes.
Participates in system upgrades and scheduled vendor releases as requested to enhance the application and meet project objectives.
Collaborates with management to develop departmental standards regarding change control to ensure accurate data tracking and monitors change process by maintaining current protocols and reporting any problems to appropriate personnel.
Works independently on complex projects completing within the designated timeframe and under minimal guidance.
Provides ongoing support and maintenance as assigned.
Delivers customer service to IS clients seamlessly across system boundaries.
Ensures safety, confidentiality & security of employee and Patient data.
Assists/Trains internal team members, physicians, clinical and practice staff in the utilization of functionality within the application.
Promptly identifies, documents, and resolves problems with system functionality.
Consults with the key client stakeholders and cross-functional team members to gather and interpret documented build requirements for implementation projects.
Coordinates and adheres to strict implementation project schedules, and handle multiple assignments.
Communicates clearly problems, issues and potential solutions to team members, clients and organizational administration.
Researches and analyze new functionality, and releases within the EMR to enhance practice productivity and operational processes.
Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
Other duties as assigned to support the unit, department, entity, and health system organization.
**Associate Application Analyst:**
Responsible for enhancing, supporting, and maintaining an application within the UPHS health system under the direction of a senior analyst. Responsibilities include testing and implementing scheduled vendor releases and system upgrades, and fixing system defects. Works with cross functional application teams and UPHS clients by providing education on system functionality, and configuration of new tools to increase end user productivity within the application. Ensure system changes follow change management procedures and protocols.
**Accountabilities:**
Develops a thorough understanding of UPHS applications.
Interprets and analyzes complex workflow/system requirements in order to design, configure, test and implement application solutions.
Defines system requirements and develops logical data models using best practices for build and configuration, maintenance, and data integrity.
Creates and maintains all documentation for assigned applications in order to establish standards for configuration and enhancements within the application.
Develops, and executes test plans that are comprehensive and inclusive of application functionality changes and/or enhancements to ensure successful outcomes.
Participates in system upgrades and scheduled vendor releases as requested to enhance the application and meet project objectives.
Develops departmental standards regarding change control to ensure accurate data tracking and monitors change process by maintaining current protocols and reporting any problems to appropriate personnel.
Provides ongoing support and maintenance as assigned.
Consults with the key client stakeholders and cross-functional team members to gather and interpret documented build requirements for implementation projects.
Delivers customer service to IS clients seamlessly across system boundaries.
Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
Other duties as assigned to support the unit, department, entity, and health system organization.
**Senior Clinical Analyst:**
A Senior Clinical Analyst may be selected for this role, and professionals with a Health Care Professional Certificate and/or License such as MT, RN, PA, or DPM, a Bachelor's degree, and at least 3 years of related experience are encouraged to apply!
**Clinical Analyst:**
A Clinical Analyst may be selected for this role. Professionals with a Health Care Professional background, a Bachelor's degree, and at least 2 years of related experience are encouraged to apply!
**Associate Clinical Analyst:**
An Associate Clinical Analyst may be selected for this role. Professionals with knowledge and experience in direct patient care processes and workflow, and the ability to understand and describe clinical processes are encouraged to apply!
**Education & Experience:**
**Senior Application Analyst**
H.S. Diploma/GED with 7+ years Relevant experience and 5+ years Healthcare IT
Or
Bachelor's Degree with 3+ years Relevant experience and 0-1 years and Healthcare IT
**Skills & Abilities:**
COMMUNICATION: Demonstrated customer service skills
PROJECT/CHANGE MANAGEMENT: Demonstrated project management skills
ANALYTICS: Strong quantitative and analytical abilities
COMMUNICATION: Ability to communicate effectively with all levels of staff
PROJECT/CHANGE MANAGEMENT: Ability to implement process improvements
Ability to assist with basic hardware configurations, database management tools and query language
Ability to troubleshoot, research and solve technically challenging problems involving integrated systems
Must be able to function as part of a team providing a high level of quality service to clients
Applications experience in either an application support or implementation role
Knowledge of healthcare operations and data structures and the use of information system applications in the practicing healthcare environment
**Application Analyst**
H.S. Diploma/GED with 3+ years Relevant experience and 5+ years Healthcare IT
Or
Bachelor's Degree with 3+ years Relevant experience and 0-1 years and Healthcare IT
**Skills & Abilities:**
Strong communication skills with all levels of staff and personnel
Ability to implement process improvements
Ability to troubleshoot, research and solve technically challenging problems
Must be attentive to detail
Demonstrated problem solving skills
Ability to work as part of a team
Demonstrated customer service skills
Demonstrated project management skills - preferred
Knowledge of healthcare operations and data structures and the use of information system applications in the practicing healthcare environment - preferred
Thorough knowledge of all technical and clinical aspects of position functions - preferred
Ability to assist with basic hardware configurations, database management tools and query language - preferred
**Associate Application Analyst**
H.S. Diploma/GED required, AND at least 1 year of directly related paid IT experience, preferably in healthcare
(or)
Bachelor's Degree in Information Technology or a related field (individuals with other majors may be considered with internship or other IT related experience)
**Skills & Abilities:**
Demonstrated customer service skills
Demonstrated interpersonal/verbal communication skills
Ability to communicate effectively with all levels of staff
Ability to function as part of a team providing a high level of quality service to clients
Ability to troubleshoot, research and solve technically challenging problems - preferred
Ability to assist with basic hardware configurations, database management tools and query language - preferred
**Senior Clinical Analyst**
A Senior Clinical Analyst may be selected for this role, and professionals with a Health Care Professional Certificate and/or License such as MT, RN, PA, or DPM, a Bachelor's degree, and at least 3 years of related experience are encouraged to apply!
**Clinical Analyst:**
A Clinical Analyst may be selected for this role. Professionals with a Health Care Professional background, a Bachelor's degree, and at least 2 years of related experience are encouraged to apply!
**Associate Clinical Analyst:**
An Associate Clinical Analyst may be selected for this role. Professionals with knowledge and experience in direct patient care processes and workflow, and the ability to understand and describe clinical processes are encouraged to apply!
**Additional Information:**
Epic Clinical Documentation, CPOE Orders, Clinical Case Management, Long Term Care or Rehab certifications strongly preferred.
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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