Moses/Weitzman Health System

Role Description The 340B Program Director is responsible for leadership of the pharmacy 340B drug discount program for all qualified entities, CHC pharmacies, external vendors, and between the contracted pharmacies. Such leadership and coordination includes ensuring compliance with all federal regulations and related interpretations, ensuring the program is fully implemented in all areas of qualified use, and ensuring records and documentation are complete and accurate. The Director is responsible for data analysis to enable CHCI, its patients and pharmacy customers to receive maximum benefit from the 340B program. General Duties - Serves as CHCI’s compliance expert on 340B Program details, policies and procedures. - Acts as the liaison with necessary affiliated departments and CHC pharmacies to ensure 340B Program integrity. - Leads CHCI’s 340B oversight committee, which includes members from leadership, pharmacy, compliance, legal and finance. - Provides expertise with the 340B Program to staff and participants regarding ongoing compliance. - Develops and maintains internal relationships: Medical (CMO/CNO/CPO, pharmacy management), Finance, Operations and Legal, as well as external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator (TPA) vendors) as needed. - Actively engages with CHCI leadership and participates in decision-making processes related to the implementation of new 340B processes. Policy and Procedure Development - Ensures that policies and procedures are developed, implemented and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by CHCI’s legal department. - Establish consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary cost. Education - Provides ongoing training, education and communication in collaboration with pharmacy and medical team required for the 340B Program at CHCI. - Develops training/competency materials for all employees who work with the 340B Program. - May assist in the development, implementation, or promotion of programmatic resource/tools to support staff. - Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient to address any problems or suggestions for improvement. - Establishes a clear way for CHCI staff to communicate concerns to the manager. Regulatory Surveillance and Compliance - Monitors and assesses 340B regulations, guidance and /or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Ensure ongoing compliance with all applicable requirements. - Attends regular 340B training and shares lessons and hot topics with staff. - Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure CHCI has latest information regarding interpretations, rulings, suggestions and advanced ideas for improving participation. - Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams. - Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions to determine the most appropriate use of 340B Program staff. Registration/Recertification - Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame. - Responsible for ensuring that the HRSA 340B OPAIS (Office of Pharmacy Affairs Information System) is accurate for all organization entities. - Responsible for ensuring registration of any new associated sites are within the allowable time frame. Self-Audits - Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings. - Conducts and/or coordinates an annual audit of all CHC and contract pharmacies. Documents results and follow-up on any findings. - Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility. - Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate system checks are reviewed to prevent billing issues. - Monitors utilization records and 340B purchasing accounts to ensure that software/tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. - Monitors 340B compliance within workflow processes. - Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications and prescriptions filled by 340B CHC and contract pharmacies. - Conducts monthly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines/policies. - Ensures compliance with all aspects of the 340B Program and implements all applicable aspects of HRSA’s OPA guidance, as well as CHCI’s policies and procedures. - Ensure that audits follow current regulatory compliance recommendations and are completed at the site level. - Ensures evaluations are completed for gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program. - Evaluates covered entity compliance at the CHC and contract pharmacy and wholesaler levels. - Performs annual independent compliance audits and reports findings to responsible representatives at CHCI. - Performs 340B purchasing and utilization audits or compliance assessments internally, as needed. - Routinely audits all 340B Programs to ensure compliance with regulations related to 340B purchasing. External Audits - Serves as the point person and manager for all audits. Coordinates all requests and responses. - Maintains a current state of “audit readiness”. - Provides oversight for all audits performed by independent external auditors. - Coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. 340B Contract Management - Reviews and negotiates any new 340B contract/amendment. Maintains all 340B contracts. - Manage relationships, billing services, and compliance with CHC and contracted 340B pharmacies. - Evaluates all current and future CHC and contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and external auditing. Program Enhancement/Optimization - Assesses opportunities for cost savings and business improvements in 340B CHC and contract pharmacy utilization. - Assesses opportunities for cost savings and system improvements to yield higher compliance. - Oversee the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients. - Analyzes utilization of the program and existing software to identify ways to compliantly use the 340B Program to its fullest extent to meet the needs of underserved patients. - Works directly with drug manufacturers and wholesalers to develop strategies for appropriate use of the program. - Develops business plans to optimize and implement programs related to program services and contract pharmacy agreements. - Implements business plans in coordination with CHCI pharmacy leadership to help use 340B savings to expand and improve care provided to underserved and vulnerable populations. - Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement. Reporting - Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to pharmacy and finance leadership. - Develops routine reports that are a by-product of the inventory process and software, allowing for concise information to be communicated to CHCI staff responsible for 340B inventory management. - Constructs appropriate financial metrics to assess areas of improvement. - Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program. - Coordinates monthly financial reporting and analysis, including, but not limited to metric reporting, scorecards, and variance analysis. - Ensures that reporting meets CHCI, regional, national, state, and federal requirements. - Routinely communicates and questions, issues or discrepancies with the appropriate authority. - Ensures appropriate documentation and audit trail across areas of responsibility. Purchasing/Inventory Oversight - Monitors purchasing records for each 340B participant; clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Relay results to pharmacy leadership. - Monitors for 340B pricing exclusions or shortages and establishes appropriate alternative products that are included when possible, including work with Pharmacy and Therapeutics Committee and CHCI procurement staff. - Participates with the Prime Vendor and routinely reviews 340B formulary pricing and potential alternatives. - Manages and tracks 340B drug inventory, including proper replenishment. - Tracks 340B pharmaceutical sales and purchases data to ensure provider and patient eligibility. - Continuously monitors product min/max levels to effectively balance product availability and cost-efficient inventory control. - Maintains system databases to reflect changes in the drug formulary or product specifications. - Ensures compliance with regulations related to 340B purchasing. - Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly. - Performs thorough quarterly reviews of the new 340B pricing list to search for and quickly address costly changes in collaboration with pharmacy leadership. Third-Party Administrator Software Maintenance - Maintains 340B TPA software integrity and reviews reports to identify areas for improvement. - Assists in implementing new software packages and other changes in business practice based on changing regulations/policies. - Works with pharmacy and informatics teams to ensure that CHCI clinical information system is coordinated and integrated into the work with the 340B Program. This shall include electronic interfaces between the EMR and the virtual accumulator and any interfaces between CHCI and contract pharmacies and/or administrators. Qualifications - 5+ Years experience working in an FQHC 340B program - Bachelor Degree or equivalent required - 340B University Training Required, additional Apexus Certifications preferred - Experience with EHR systems required, experience with eCW preferred - Demonstrated team leadership in 340B environment required - Proficiency in Microsoft Suite Requirements - This Position is available for remote work. Company Description - Time Type: Full time

Role Description The 340B Program Director is responsible for leadership of the pharmacy 340B drug discount program for all qualified entities, CHC pharmacies, external vendors, and between the contracted pharmacies. Such leadership and coordination includes ensuring compliance with all federal regulations and related interpretations, ensuring the program is fully implemented in all areas of qualified use, and ensuring records and documentation are complete and accurate. The Director is responsible for data analysis to enable CHCI, its patients and pharmacy customers to receive maximum benefit from the 340B program. 340B Program Director General Duties - Serves as CHCI’s compliance expert on 340B Program details, policies and procedures. - Acts as the liaison with necessary affiliated departments and CHC pharmacies to ensure 340B Program integrity. - Leads CHCI’s 340B oversight committee, which includes members from leadership, pharmacy, compliance, legal and finance. - Provides expertise with the 340B Program to staff and participants regarding ongoing compliance. - Develops and maintains internal relationships: Medical (CMO/CNO/CPO, pharmacy management), Finance, Operations and Legal, as well as external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator (TPA) vendors) as needed. - Actively engages with CHCI leadership and participates in decision-making processes related to the implementation of new 340B processes. Policy and Procedure Development - Ensures that policies and procedures are developed, implemented and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by CHCI’s legal department. - Establish consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary cost. Education - Provides ongoing training, education and communication in collaboration with pharmacy and medical team required for the 340B Program at CHCI. - Develops training/competency materials for all employees who work with the 340B Program. - May assist in the development, implementation, or promotion of programmatic resource/tools to support staff. - Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient to address any problems or suggestions for improvement. - Establishes a clear way for CHCI staff to communicate concerns to the manager. Regulatory Surveillance and Compliance - Monitors and assesses 340B regulations, guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Ensure ongoing compliance with all applicable requirements. - Attends regular 340B training and shares lessons and hot topics with staff. - Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure CHCI has latest information regarding interpretations, rulings, suggestions and advanced ideas for improving participation. - Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams. - Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions to determine the most appropriate use of 340B Program staff. Registration/Recertification - Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame. - Responsible for ensuring that the HRSA 340B OPAIS (Office of Pharmacy Affairs Information System) is accurate for all organization entities. - Responsible for ensuring registration of any new associated sites are within the allowable time frame. Self-Audits - Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings. - Conducts and/or coordinates an annual audit of all CHC and contract pharmacies. Documents results and follow-up on any findings. - Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility. - Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate system checks are reviewed to prevent billing issues. - Monitors utilization records and 340B purchasing accounts to ensure that software/tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. - Monitors 340B compliance within workflow processes. - Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications and prescriptions filled by 340B CHC and contract pharmacies. - Conducts monthly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines/policies. - Ensures compliance with all aspects of the 340B Program and implements all applicable aspects of HRSA’s OPA guidance, as well as CHCI’s policies and procedures. - Ensure that audits follow current regulatory compliance recommendations and are completed at the site level. - Ensures evaluations are completed for gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program. - Evaluates covered entity compliance at the CHC and contract pharmacy and wholesaler levels. - Performs annual independent compliance audits and reports findings to responsible representatives at CHCI. - Performs 340B purchasing and utilization audits or compliance assessments internally, as needed. - Routinely audits all 340B Programs to ensure compliance with regulations related to 340B purchasing. External Audits - Serves as the point person and manager for all audits. Coordinates all requests and responses. - Maintains a current state of “audit readiness.” - Provides oversight for all audits performed by independent external auditors. - Coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. 340B Contract Management - Reviews and negotiates any new 340B contract/amendment. Maintains all 340B contracts. - Manage relationships, billing services, and compliance with CHC and contracted 340B pharmacies. - Evaluates all current and future CHC and contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and external auditing. Program Enhancement/Optimization - Assesses opportunities for cost savings and business improvements in 340B CHC and contract pharmacy utilization. - Assesses opportunities for cost savings and system improvements to yield higher compliance. - Oversee the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients. - Analyzes utilization of the program and existing software to identify ways to compliantly use the 340B Program to its fullest extent to meet the needs of underserved patients. - Works directly with drug manufacturers and wholesalers to develop strategies for appropriate use of the program. - Develops business plans to optimize and implement programs related to program services and contract pharmacy agreements. - Implements business plans in coordination with CHCI pharmacy leadership to help use 340B savings to expand and improve care provided to underserved and vulnerable populations. - Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement. Reporting - Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to pharmacy and finance leadership. - Develops routine reports that are a by-product of the inventory process and software, allowing for concise information to be communicated to CHCI staff responsible for 340B inventory management. - Constructs appropriate financial metrics to assess areas of improvement. - Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program. - Coordinates monthly financial reporting and analysis, including, but not limited to metric reporting, scorecards, and variance analysis. - Ensures that reporting meets CHCI, regional, national, state, and federal requirements. - Routinely communicates and questions issues or discrepancies with the appropriate authority. - Ensures appropriate documentation and audit trail across areas of responsibility. Purchasing/Inventory Oversight - Monitors purchasing records for each 340B participant; clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Relay results to pharmacy leadership. - Monitors for 340B pricing exclusions or shortages and establishes appropriate alternative products that are included when possible, including work with Pharmacy and Therapeutics Committee and CHCI procurement staff. - Participates with the Prime Vendor and routinely reviews 340B formulary pricing and potential alternatives. - Manages and tracks 340B drug inventory, including proper replenishment. - Tracks 340B pharmaceutical sales and purchases data to ensure provider and patient eligibility. - Continuously monitors product min/max levels to effectively balance product availability and cost-efficient inventory control. - Maintains system databases to reflect changes in the drug formulary or product specifications. - Ensures compliance with regulations related to 340B purchasing. - Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly. - Performs thorough quarterly reviews of the new 340B pricing list to search for and quickly address costly changes in collaboration with pharmacy leadership. Third-Party Administrator Software Maintenance - Maintains 340B TPA software integrity and reviews reports to identify areas for improvement. - Assists in implementing new software packages and other changes in business practice based on changing regulations/policies. - Works with pharmacy and informatics teams to ensure that CHCI clinical information system is coordinated and integrated into the work with the 340B Program. This shall include electronic interfaces between the EMR and the virtual accumulator and any interfaces between CHCI and contract pharmacies and/or administrators. Qualifications - 5+ Years experience working in an FQHC 340B program - Bachelor Degree or equivalent required - 340B University Training Required, additional Apexus Certifications preferred - Experience with EHR systems required, experience with eCW preferred - Demonstrated team leadership in 340B environment required - Proficiency in Microsoft Suite Requirements - This Position is available for remote work. Company Description - Time Type: Full time

Role Description Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims. - Audits and resolves accounts with credit balances. - Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts. - Posts payments and adjustments and takes action when rates do not match established fee schedules. - Performs necessary rebilling or adjusting on accounts. - Responds to patient inquiries regarding the process of services. - Answers incoming Patient Accounts calls as a member of the AR team phone queue. - Cross trains within the department to provide coverage when necessary. - Collaborates with Office Managers regarding the quality of data obtained by office staff and healthcare providers. - Organizes workload to achieve a high level of productivity. - Notifies Manager of information that negatively impacts production. - Assists with special projects as needed. Qualifications - One of the following must be met: - 1) Associate's degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office. - 2) Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office. - In-depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process, understanding of managed care contracts, and capitation payments. - Proficient in Microsoft Excel, Word, Access, and Outlook. - This position is available for remote work. Company Description Community Health Center, Inc. (CHC), with offices in Connecticut, Colorado, and California, is one of the country’s most creative and dynamic providers of primary medical, dental, and behavioral health services. - Leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. - Designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA. - Delivers more than 600,000 patient visits per year from primary care hubs and community clinics across the state of CT. - Employs several hundred medical, dental, and behavioral health providers engaged in practice, teaching, and research. - The Weitzman Institute is devoted to research and practice transformation, recognized as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations. - Developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: - The National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC). - The National Institute for Medical Assistant Advancement (NIMAA). - CeCN. Time Type Full time

Role Description Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims. - Audits and resolves accounts with credit balances. - Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts. - Posts payments and adjustments and takes action when rates do not match established fee schedules. - Performs necessary rebilling or adjusting on accounts. - Responds to patient inquiries regarding the process of services. - Answers incoming Patient Accounts calls as a member of the AR team phone queue. - Cross trains within the department to provide coverage when necessary. - Collaborates with Office Managers regarding quality of data obtained by office staff and healthcare providers. - Organizes workload to achieve a high level of productivity. - Notifies Manager of information that negatively impacts production. - Assists with special projects as needed. Qualifications - One of the following must be met: - Associates degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office. - Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office. - In-depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process, understanding of managed care contracts, and capitation payments. - Proficient in Microsoft Excel, Word, Access, and Outlook. - This Position is available for remote work. Company Description Community Health Center, Inc. (CHC), with offices in Connecticut, Colorado, and California, is one of the country’s most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. - CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively. - We deliver more than 600,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by technology and common standards for quality. - We employ several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research. - Our Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations. - The organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and CeCN. Time Type Full time

Role Description The Research & Evaluation Associate is a masters or higher-level research professional responsible for quantitative data analysis of Weitzman Institute research projects. The Research & Evaluation Associate is expected to work with the principal investigators, project managers, and project-related stakeholders to plan, measure, and analyze simple and complex data sets. The position is expected to employ data analytic skills to ensure research goals are met, including support for grant and manuscript preparation. Role and Responsibilities - Contribute to the design, planning, implementation, and management of a host of studies (e.g., observational, experimental, qualitative) - Develop detailed protocols for conducting research, including data collection processes and instruments - Clean, transform, manage, and analyze data from a variety of sources (e.g., surveys, electronic health records) - Perform statistical analyses (e.g., descriptive statistics, correlations, t-tests, regression, factor analysis, mixed-effects modeling, sample and effect size calculation, and other types of statistical modeling) under the direction of research leads - Lead the preparation of reports, manuscripts, and presentations for scientific and lay audiences - Contribute to grant and contract proposals to governmental (e.g., NIH, CDC) and nongovernmental funding sources - Other duties as assigned Qualifications - Master’s-level or higher training in a health-related field (preferably in a quantitative discipline) and 1-3 years of post-graduate work experience in research. - Proven experience developing and conducting surveys and establishing measures to assess research questions - Demonstrated knowledge and experience analyzing and reporting data to scientific and community-based audiences - Strong track record supporting grant proposals - Clear, concise writing, communication, and presentation skills - First author on at least one article published in a peer-reviewed journal preferred - Proficiency with SPSS and R, ideally conducting analyses as an analyst for a minimum of three years - Proficiency with Microsoft Office products, specifically Excel - Strong interpersonal, organizational, time-management and prioritization skills; ability to multi-task and a keen attention to detail - Exceptionally self-motivated and directed - Preference for and experience with working on a fully remote team - Willingness to pitch in at any level, from taking meeting notes and cleaning survey data to presenting at national conferences Requirements - Leadership Team - All levels of internal employees - Community contact including federal, state and other external partners Physical Requirements/Work Environment - This position is completely remote. - Workspace must be suitable for confidential and distraction-free work Company Description The Moses/Weitzman Health System is a global leader addressing challenges faced by organizations caring for the poor and diverse populations, and is home to programs focusing on education, research, and process improvement support for safety net providers. The system delivers primary care to more than 150,000 patients in Connecticut, and extends access to specialty care for more than 2.5 million individuals across the U.S. It is a national accrediting body for organizations training advanced practice providers, and offers accredited education and training for Medical Assistants in multiple states. As an incubator for new ideas in areas including social justice, the environment, and social determinants of health, the MWHS is addressing challenges faced by providers caring for underserved communities, creating innovative and impactful initiatives led by nationally and internationally recognized experts. As it forges pathways into the future of primary care, the MWHS honors Lillian Reba Moses (1924-2012), a granddaughter of slaves, and Gerard (Gerry) Weitzman (1938-1999), whose ancestors escaped pogroms in Eastern Europe. Their vision and commitment to justice and equity in healthcare is the foundation upon which the Moses/Weitzman Health System was built. Time Type Full time

Role Description This is the growth opportunity for you, if you: - Have extensive customer service experience - Possess a positive energetic attitude - Are extremely organized and pay great attention to detail - Possess excellent communication skills and able to multi-task with strong processing skills in our fast paced environment - Have a strong interest in health policy/public health - Are able to work effectively as a member of a team As a Centralized Billing Specialist at Community Health Center, Inc., you will: - Perform all aspects of billing Medical, Dental, and Behavioral Health claims - Responsible for entering codes and reconciling charges in a timely and accurate manner - Retain the required billing process for each discipline - Perform necessary rebilling or adjusting on accounts - Organize work load to achieve a high level of productivity - Cross train within the department to provide coverage when necessary - Verify commercial insurance eligibility for an assigned site daily - Keep management informed of matters regarding charge entry - Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy and compliance with regulations - Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates - Adhere to all corporate compliance mandates and guidelines - Follow internal protocols regarding departmental communications - Participate in proactive team efforts to achieve departmental and company goals - Communicate daily with our providers, site operations and billing team so excellent verbal and written communication as well as strong organizational abilities are required - Identify, compile and code patient data, using ICD-10 and CPT and other standard classification coding systems - Perform necessary rebilling or adjusting on accounts - Cross train within department to provide coverage when necessary - Assist with special projects as needed - Other duties as assigned by Management Qualifications - At least 2 year experience in healthcare billing and coding - AAPC / AHIMA certified; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC); or a diploma in medical billing - Proficient in Microsoft Excel, Word, Access and electronic e-mail systems - In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process Preferred Qualifications - Associates degree in Health Information Management Systems, Business, or a related field - Have AAPC / AHIMA certification; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC) Physical Requirements/Work Environment - Minimal physical effort. Works primarily on computer and phone Location - Remote or In-Person - Middletown ION Building - Finance & Patient Accounts Time Type - Full time - This Position is available for remote work Company Description Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country’s most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. - CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively - We deliver more than 500,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by technology and common standards for quality - We employ several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research - Our Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations - In addition, the organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network

Role Description This is the growth opportunity for you, if you: - Have extensive customer service experience - Possess a positive energetic attitude - Are extremely organized and pay great attention to detail - Possess excellent communication skills and able to multi-task with strong processing skills in our fast paced environment - Have a strong interest in health policy/public health - Are able to work effectively as a member of a team As a Centralized Billing Specialist at Community Health Center, Inc., you will: - Perform all aspects of billing Medical, Dental, and Behavioral Health claims - Responsible for entering codes and reconciling charges in a timely and accurate manner - Retain the required billing process for each discipline - Perform necessary rebilling or adjusting on accounts - Organize work load to achieve a high level of productivity - Cross train within the department to provide coverage when necessary - Verify commercial insurance eligibility for an assigned site daily - Keep management informed of matters regarding charge entry - Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy and compliance with regulations - Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates - Adhere to all corporate compliance mandates and guidelines - Follow internal protocols regarding departmental communications - Participate in proactive team efforts to achieve departmental and company goals - Communicate daily with our providers, site operations and billing team so excellent verbal and written communication as well as strong organizational abilities are required - Identify, compile and code patient data, using ICD-10 and CPT and other standard classification coding systems - Perform necessary rebilling or adjusting on accounts - Cross train within department to provide coverage when necessary - Assist with special projects as needed - Other duties as assigned by Management Qualifications - At least 2 year experience in healthcare billing and coding - AAPC / AHIMA certified; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC); or a diploma in medical billing - Proficient in Microsoft Excel, Word, Access and electronic e-mail systems - In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process Requirements - Associates degree in Health Information Management Systems, Business, or a related field (preferred) - AAPC / AHIMA certification; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC) (preferred) Benefits - Remote work option available - Full-time position Company Description Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country’s most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. - Designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA - Delivers more than 500,000 patient visits per year from primary care hubs and community clinics across the state of CT - Employs several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research - Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations - Developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute

Role Description The Weitzman Education Specialist will work closely with the Weitzman Institute Education core and is responsible for the project management of Weitzman Institute education interventions related to the Weitzman Education department. Weitzman Education has three core areas of focus – health professions, continuing education, and system transformation. Education interventions include: - Weitzman ECHO - Learning collaboratives - Webinars - Technical assistance - Consultation - Other innovative interventions The Weitzman Education Specialist is a key member of various education teams responsible for: - Needs analysis, development, design, implementation, and evaluation of educational interventions for health professions’ residents and students, primary care providers, care team staff, and clinical, operational, and executive leaders in primary care and other health care organizations. - Project management for a variety of educational interventions in various stages of planning and implementation. - Working with faculty to develop and enhance didactics and other educational materials. - Engagement with participants involved in the various interventions to build and maintain learning communities. - Tracking and monitoring of operational data including continuing education, survey administration, data collection. - Data analysis and reports for continual improvement of education interventions. - Software use for tracking participation of learners, organizations, faculty, and education materials, such as case presentations, video recordings, and other educational materials. - Participation in proposal development, grant writing, poster presentations, and publications. Delivery methods for educational interventions include: - Video conferencing - Video recordings - Site visits - In-person/virtual consultations Qualifications - Minimum of a Bachelor’s degree, preferably in a health-related field. - 1-3 years of work experience, preferably in a health-related field and/or with project support experience. - Proficiency in Microsoft Office and internet-related applications, survey software, and database software. - Strong organizational skills and attention to detail. - Strong communication, time-management and prioritization skills, ability to multi-task, and interpersonal skills. - Ability to work cooperatively with team members, providers, and agencies. - Ability to work independently and meet deadlines. - Outstanding written and oral communication skills. - Demonstrated problem solving skills, including the ability to plan and implement in a fast-paced environment. - Current Driver’s license and ability to travel in and out of state. Requirements - Responsible for session arrangements and maintenance for various education interventions. - Providing clerical, organizational, and technical support for participants and faculty. - Supporting the recruitment of participants (students, residents, providers, care team staff, leaders) and organizations and tracking admissions/enrollment/graduation. - Recording and maintaining education intervention data: attendance, didactics, case presentations, didactic schedule via web-based program, evaluation surveys. - Administering surveys and assisting with data collection and analysis to maintain quality of education programs. - Assisting with onboarding of new learners to educational programs including conducting technology tests and providing technical support as needed. - Developing engaging and attractive presentations for a number of venues including conferences. - Supporting coordination and project management on cross-Weitzman initiatives, as requested or needed. - Coordinating or managing the development of new education programs, such as assisting with onboarding new faculty members and participants, creating case forms, and marketing materials. - Organizing and communicating with faculty in all of their responsibilities including didactic curriculum planning, case review, faculty meetings, content development, participant demographics, continual improvement. - Facilitating regularly scheduled faculty meetings. - Supporting senior staff with grant development and reporting, which may include writing parts of the grant applications or reports, brainstorming elements of a work plan, coordinating with partner organizations for letters of support, and proofreading for grammar and format. - Working with the senior staff to manage grant deliverable timelines. - Creating operational reports for external funders and supporting with other deliverables. - Assist with creating content for marketing purposes in collaboration with CHC’s Communications team including eBlasts, newsletters, printed collateral, and maintaining/updating assigned Weitzman Education webpages. - May be assigned to attend conferences to exhibit, present, and/or teach about Weitzman Education programs. - Providing support to Weitzman Education leadership on accreditation efforts. - Building constructive and effective relationships both internally and externally. - Other duties as assigned. Benefits - This Position is available for remote work.

Role Description The Senior Health Services Researcher is a senior-level researcher responsible for leading rigorous, and policy- and practice-relevant health services research using real-world data, including electronic medical records (EMR/EHR), claims, and workforce data. The role requires strong grounding in biostatistics and epidemiology to ensure rigorous study design, valid inference, and high-quality analysis of real-world clinical data. This individual will serve as a hands-on analyst and methodological leader, designing and executing advanced quantitative studies that inform primary care delivery, workforce development, and health outcomes in community-based settings, particularly Federally Qualified Health Centers (FQHCs). The role emphasizes applied, implementation-oriented, and health services research that understands clinical systems and outcomes. Qualifications - Doctoral degree (PhD, ScD, DrPH, or equivalent) in public health, epidemiology, health services research, health policy, implementation science, or related field OR Masters degree with at least 7 years of research experience commensurate with other requirements. - Minimum 3 years of progressively responsible research experience. - Sustained peer-reviewed publication record with evidence of scholarly impact. - Demonstrated experience working with electronic medical record (EMR/EHR) data. - Strong track record of hands-on data analysis using large, complex datasets. - Experience working in or with primary care settings, preferably FQHCs or safety-net systems. Requirements - Strong foundation in biostatistics and epidemiology, including study design, bias, confounding, and causal inference. - Advanced proficiency in statistical software (Python, SAS, Stata, R, or equivalent). - Demonstrated ability to apply statistical and epidemiologic methods to real-world healthcare data, including EMR/EHR and claims. - Experience with data cleaning and transformation of EMR/EHR data. - Statistical modeling and causal inference methods. - Machine learning and/or natural language processing (preferred). - Familiarity with healthcare data standards (e.g., ICD, CPT, LOINC). Benefits - Remote work with occasional travel to healthcare sites, meetings, and conferences. - Confidentiality of business information is a requirement, maintained according to CHC policies.

Role Description The Weitzman Education Specialist will work closely with the Weitzman Institute Education core and is responsible for the project management of Weitzman Institute education interventions related to the Weitzman Education department. Weitzman Education has three core areas of focus – health professions, continuing education, and system transformation. Education interventions include: - Weitzman ECHO - Learning collaboratives - Webinars - Technical assistance - Consultation - Other innovative interventions The Weitzman Education Specialist is a key member of various education teams responsible for: - Needs analysis, development, design, implementation, and evaluation of educational interventions for health professions’ residents and students, primary care providers, care team staff, and clinical, operational, and executive leaders in primary care and other health care organizations. - Project management for a variety of educational interventions in various stages of planning and implementation. - Working with faculty to develop and enhance didactics and other educational materials. - Engagement with participants involved in the various interventions to build and maintain learning communities. - Tracking and monitoring of operational data including continuing education, survey administration, and data collection. - Data analysis and reports for continual improvement of education interventions. - Software use for tracking participation of learners, organizations, faculty, and education materials. - Participation in proposal development, grant writing, poster presentations, and publications. Delivery methods for educational interventions include: - Video conferencing - Video recordings - Site visits - In-person/virtual consultations Qualifications - Minimum of a Bachelor’s degree, preferably in a health-related field - 1-3 years of work experience, preferably in a health-related field and/or with project support experience - Proficiency in Microsoft Office and internet-related applications, survey software, and database software - Strong organizational skills and attention to detail - Strong communication, time-management, and prioritization skills - Ability to work cooperatively with team members, providers, and agencies - Ability to work independently and meet deadlines - Outstanding written and oral communication skills - Demonstrated problem-solving skills, including the ability to plan and implement in a fast-paced environment - Current Driver’s license and ability to travel in and out of state Requirements - Ability to support implementation of detailed project plans, coordination and communication among contributors and stakeholders, and delivery of projects within the approved time, budget, and objectives - Ability to recommend actions to enhance the success of Weitzman Education program initiatives - Experience in leveraging technology and business partners to deliver content - Ability to prioritize multiple tasks and organize work effectively Benefits - This Position is available for remote work Company Description The Moses/Weitzman Health System is a global leader addressing challenges faced by organizations caring for the poor and diverse populations. It is home to programs focusing on education, research, and process improvement support for safety net providers. The system delivers primary care to more than 150,000 patients in Connecticut, and extends access to specialty care for more than 2.5 million individuals across the U.S. It is a national accrediting body for organizations training advanced practice providers and offers accredited education and training for Medical Assistants in multiple states. As an incubator for new ideas in areas including social justice, the environment, and social determinants of health, the MWHS is addressing challenges faced by providers caring for underserved communities, creating innovative and impactful initiatives led by nationally and internationally recognized experts. As it forges pathways into the future of primary care, the MWHS honors Lillian Reba Moses (1924-2012) and Gerard (Gerry) Weitzman (1938-1999), whose vision and commitment to justice and equity in healthcare is the foundation upon which the Moses/Weitzman Health System was built.