The Senior Coding Analyst is responsible for auditing and coding medical records to ensure accurate HCC reimbursement and compliance. They also provide training and clinical documentation improvement support to physicians and provider networks.
The Senior Financial Analyst will support financial planning, budgeting, forecasting, and reporting while serving as a financial partner to business leaders. You will build financial models, perform variance analysis, and identify opportunities to streamline and automate financial processes.
The Utilization Management Coordinator manages incoming authorization requests, verifies benefits, and ensures data accuracy within the system. They serve as the primary point of contact for internal and external customers while maintaining strict adherence to HIPAA guidelines and turnaround time regulations.
The Senior Medical Economics Analyst will lead a team to drive data-informed decision-making and develop analytics strategies to improve operational efficiency and financial performance. This role involves designing business intelligence solutions and partnering with executive leadership to translate complex healthcare data into actionable insights.
The Medical Director oversees utilization management policies, quality programs, and clinical network efficiency to ensure high-quality, cost-effective healthcare delivery. This role provides leadership to clinical teams, facilitates interdisciplinary care meetings, and acts as a liaison between physicians and health plans.
The Medical Director provides clinical oversight to advance quality outcomes, utilization management, and provider engagement across the network. They lead quality improvement initiatives, manage utilization review processes, and collaborate with operational leaders to ensure evidence-based care delivery.
The Data Analyst Lead acts as an internal consultant to develop complex healthcare, clinical, and financial data sets for reporting and decision support. They are responsible for mining data, identifying cost and utilization patterns, and training team members on analytical tools and processes.
The Accounting Manager oversees the financial accounting process, including general ledger maintenance, monthly closes, and financial reporting for all AHS entities. They are also responsible for establishing internal controls to prevent fraud and assisting the Controller with the annual budget process.
