The UR Specialist conducts medical necessity reviews using InterQual Criteria to determine appropriate patient class designations. They collaborate with provider teams and the Medical Director to ensure accurate reimbursement and compliance with regulatory requirements.
Emory Healthcare
7 Remote Job Openings at Emory Healthcare
The CDI Data Analyst provides strategic and operational support by analyzing clinical, financial, and coding claims data to improve documentation practices. Key duties include creating dashboards, tracking KPIs, and collaborating with clinical teams to drive improvements in case mix index and risk adjustment.
Senior Financial Government Reimbursement Analyst
Emory Healthcare
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Full Time
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2 months ago
Emory Healthcare
Responsible for the end-to-end preparation and optimization of governmental cost reports and regulatory filings for Medicare, Medicaid, and Tricare. Acts as a technical subject matter expert to ensure compliant reimbursement outcomes and manages financial forecasting and audit defenses.
Informatics Pharmacist (Epic Willow Ambulatory)
Emory Healthcare
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Full Time
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2 months ago
Emory Healthcare
Focuses on the build, implementation, testing, and maintenance of Epic's Willow Ambulatory and Specialty modules. The role involves optimizing pharmacy medication workflows and collaborating with clinical teams to roll out new functionality.
Corporate Director, Data Science & AI Engineering
Emory Healthcare
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Full Time
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3 months ago
Emory Healthcare
This role owns the data science management vision, leading a multidisciplinary team to architect how the organization harnesses advanced machine learning, generative AI, and large-scale analytics to improve patient outcomes and institutional performance. Responsibilities include providing strategic direction for ML/AI model deployment, establishing MLOps/LLMOps practices, and driving advanced analytics initiatives across clinical and operational domains.
Business Intelligence Developer III (Beaker Reporting)
Emory Healthcare
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Full Time
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3 months ago
Emory Healthcare
This role involves managing the full business intelligence development lifecycle, from understanding business objectives and gathering requirements to designing, building, deploying, and documenting reports and dashboards, primarily focusing on Epic Beaker laboratory systems reporting. The developer will collaborate closely with clinical and operational leaders to deliver actionable reporting solutions using tools like Epic Radar and Power BI.
Business Intelligence Developer III (Willow Reporting)
Emory Healthcare
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Full Time
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3 months ago
Emory Healthcare
This role is responsible for the entire business intelligence development lifecycle, from gathering requirements to designing, building, and deploying reports and dashboards, primarily focusing on Epic Willow pharmacy reporting within the clinical data model. The developer will collaborate closely with clinicians and operational leaders to create actionable reporting solutions using tools like Epic Radar and Power BI.