VCU Health

• Leads end-to-end project management for strategic access initiatives, including scope definition, timelines, risk mitigation, resource planning, and stakeholder alignment across multiple sites. • Develops and monitors key performance indicators (KPIs) and dashboards to track access operations performance, identify trends, and measure progress against strategic growth targets. • Conducts root-cause and trend analysis using revenue cycle access data to inform strategic recommendations to senior leadership and support continuous improvement. • Responsible for coordinating development of policy and guidelines as it pertains to the Revenue Cycle space. • Translates organizational strategic objectives into actionable operational plans, project roadmaps, and measurable milestones in conjunction with the Revenue Cycle leadership. • Partners with data/analytics teams to build reporting infrastructure that supports forecasting, capacity planning, and access growth strategy. • Leads and facilitates meetings around operations and strategic initiatives for all Revenue Cycle supported locations. • Presents strategic findings, project status, and performance analytics to senior Revenue Cycle leadership to drive informed decision-making. • Works closely with department leadership, Revenue Cycle leadership, and others to improve and sustain service excellence, communicating gaps/barriers as appropriate to key leaders and facilitating improvement strategies. • Leads cross-functional teams through change management associated with new initiatives, process redesigns, and technology implementations; performs other duties as assigned in support of the VCUHS mission.

Role Description The Clinic/Provider Partnerships Analyst leads the gathering and interpretation of contact center performance and quality data, while collaborating with department and clinic leadership to develop proactive action plans for MCV departments and clinics. The analyst will interface directly with department and clinic management to guarantee routine and emergent provider needs are met in a quick and efficient manner. As a member of the Provider Relations Team, the analyst helps to foster a world-class customer service environment while promoting collaboration within and among VCU Health departments and clinic operations. Qualifications - Minimum 2-3 years of progressively responsible positions in health care administration in a university or hospital setting. - Advanced proficiency in Microsoft Office. - Three (3) years’ experience in progressively responsible positions in health care administration in a university or hospital setting (preferred). - Advanced experience using business intelligence tools, i.e. Cognos, Avaya, Power BI, Tableau (preferred). - Bachelor’s Degree in Business, Statistics, Healthcare Management or related field from an accredited program (required). - Master’s Degree in Business, Statistics, Healthcare Management or related field from an accredited program (preferred). Requirements - Must be willing and able to travel (15-20%) as needed. - Strong interpersonal skills to assist, support and collaborate with a variety of work teams. - Strong analytical and critical thinking skills to assist in the development and execution of new and ongoing engagements. - Ability to manage and be responsible for shifting business priorities, demands and timelines. - Ability to deliver clear and concise presentations and communicate effectively both verbally and in writing with a variety of key stakeholders. - Advanced proficiency in Microsoft Office. Benefits - Physical: Lifting 20 lbs. - Activities: Prolonged sitting, Walking (distance). - Mental/Sensory: Strong recall, Reasoning, Problem-solving, Speak clearly, Write legibly, Reading, Logical thinking. - Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change. Company Description States approved for Remote Work: AL, AR, FL, GA, KS, KY, MD, MI, MO, NC, OH, SC, TN, TX, VA, WV. EEO Employer/Disabled/Protected Veteran.

Role Description The Reimbursement Specialist Supervisor oversees the daily operations of the Reimbursement Specialist team to ensure timely and accurate processing of prior authorizations, insurance follow-ups, and patient assistance program requests pertaining to high-cost medications that require prior authorization. This role provides guidance, coaching, and performance management for team members, while supporting workflow optimization and departmental revenue collection goals. - Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics. - Provide direct line supervision for Reimbursement Specialists, including performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed. Conduct hiring, interviewing, onboarding, and training of new employees. - Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed. - Facilitate training and onboarding of new Reimbursement Specialists. - Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and compliance with insurance and regulatory requirements. - Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive timely access to medications. - Identify process improvements to optimize team efficiency and patient care outcomes. - Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics. - Ensure compliance with departmental and health system policies and regulatory requirements. - Participate in special projects and cross-functional initiatives as assigned. - Serve as a point of contact for internal and external escalations related to PAs, appeals, or patient access concerns. - Perform other duties as assigned and/or participate in special projects to support the mission of VCUHS and the Department. Provide assistance to team members. Accept alternate assignments, as required. Qualifications - High School Diploma or equivalent (Required) - Associate’s Degree or higher in Business, Healthcare Administration, or related field (Preferred) - Current certification by the Pharmacy Technician Certification Board (PTCB) (Required) - Current licensure with the Virginia State Board of Pharmacy (Required) - Additional supervisory or leadership certifications (Preferred) - Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role - Previous experience supervising or mentoring staff - Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations - Proficiency in EMR systems and Microsoft Office - Strong leadership and communication skills (Preferred) - Ability to handle multiple priorities and high-volume workload (Preferred) Requirements - Periods of high stress and fluctuating workloads may occur. - General office environment. - May be exposed to high noise levels and bright lights. - May have periods of constant interruptions. - Prolonged periods of working alone. Benefits - Physical Demands: Lifting/Carrying (0-50 lbs.), Bending - Work Position: Sitting, Walking, Standing - Additional Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity - far, Acuity - near - Hazards: Mental/Sensory – Emotional - Mental/Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking - Emotional: Fast-paced environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change Company Description EEO Employer/Disabled/Protected Veteran

• Supporting insurance and registration Workqueues and other patient access functions for Ambulatory Business Operations • Ensuring entire scope of financial clearance activities for assigned patients before the scheduled appointment date • Confirming completeness of patient registration data • Verifying insurance eligibility • Confirming health plan benefits • Procuring PCP referrals and health plan authorizations • Calculating/collecting patient liability estimate • Restricting/redirecting out of network patient • Communicating patient financial responsibility • Ensuring patient financial responsibility is communicated with consistency, clarity, and transparency • Contributing to streamlining clinical operation work flows and improving revenue cycle operations and financial performance

• Responsible for all aspects of the initial credentialing, re-credentialing and privileging functions for all clinicians on medical and allied health staff at the VCU Health System Hospitals • Interacting with clinicians to obtain applications and pertinent documents • Evaluating data for accuracy and completeness • Monitoring receipt and follow up responses ensuring timely and efficient processing • Notifies supervisor Director of any adverse, incomplete or questionable data • Works independently and assesses situations, considers alternatives, and chooses the appropriate course of action • Demonstrates sound organizational ability and effectively sets priorities • Maintains strict confidentiality and professional discretion • Ensures compliance with hospital bylaws, and with local, state and federal requirements • Provides assistance to the Director in development, plans, organization and control of the operation of the Medical Staff Office • Attends medical staff committee meetings as directed • Interacts and provides support services to medical staff officers, departments and chairs as assigned

Role Description The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary. Qualifications - Current certification by the Pharmacy Technician Certification Board (PTCB) - Current licensure with the Virginia State Board of Pharmacy - Minimum of one (1) year of previous pharmacy practice experience in a similar setting - Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication - Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc. - High School Diploma or equivalent - Associate's Degree in Business or related field from an accredited program (preferred) Requirements - Identifies equipment problems; various aspects of assisting the pharmacist that don’t require a pharmacist's supervision or check. - Able to work all shifts, weekends, holidays, emergency coverage - Physical: Lifting less than 20 lbs. - Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion - Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking - Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change Company Description

Role Description Are you passionate about building real-world AI that improves lives? In this role, you’ll collaborate directly with clinicians, operational SME's, clinical researchers, and IT peers to design and deploy machine learning solutions that improve operational efficiencies in healthcare administrative areas and advance clinical care, helping shape the future of patient care. A background in healthcare is highly desirable, as you’ll help translate clinical challenges into AI-powered solutions. You’ll work on production-grade ML systems, explore emerging technologies like agentic AI and AR/VR, and build clinical decision support tools that can have a real impact on patient outcomes. If you’re a senior engineer who thrives at the intersection of engineering, research, and medicine — we’d love to meet you. The AI Engineer III role is responsible for advanced analytics applying statistical, mathematical, and computational models to diverse datasets to solve clinical and business problems and identify breakthrough opportunities. This position is responsible for performing sophisticated data analytics by designing, developing, and deploying quantitative models and other analytics tools. Working with a multi-disciplinary team of Data Engineers, Data Architects, BI Developers, and operational SME’s across VCU Health, the AI Engineer III will work on complex business problems and provide actionable insights with the overarching goal of improving clinical and financial outcomes. Qualifications - Required: Bachelor’s Degree in Business, IT, Math, Data Analytics, Engineering, or related discipline - Preferred: Master’s degree in Business, IT, Math, Data Analytics, Engineering or related discipline Requirements - 8+ years’ experience in Machine Learning/Artificial Intelligence tools and technologies required - 5+ years’ experience in Python or R and SQL required - 2+ years of experience as a Full Stack Machine Learning Engineer or similar role required - 2+ years’ experience in healthcare environment preferred - Experience working with unstructured data, NLP technologies, and big data is required - Experience working with one of the open-source ML libraries/frameworks - PyTorch/TensorFlow/Keras/Numpy required - Experience with Foundation models, Prompt Engineering, fine-tuning or RAG required - Experience working with Cloud technologies such as AWS/Azure/GCP required Benefits - Mentor and guide junior members of the team sharing expertise in AI/ML techniques, model development, and deployment best practices - Design and implement RESTful APIs to integrate ML models or GenAI solutions with other applications and systems within the organization - Stay abreast of the latest advancements in AI and Machine Learning technologies to ensure VCU Health is in the forefront of AI innovation - Conduct rigorous model evaluation, including performance testing and bias assessment, to ensure the ethical and reliable deployment of AI systems

Role Description At VCU Health, our Epic EHR is a critical platform for delivering high-quality patient care, advancing research, and supporting operational excellence — and analytics is how we turn that data into action. We’re seeking an experienced Epic Cogito Developer II to design and deliver Epic-based reporting and analytics that leaders, clinicians, and teams rely on every day. This role is ideal for someone who enjoys working deep in Epic data, partnering closely with clinical and business stakeholders, and building trusted insights that make a real impact across an academic health system. The Epic Cogito Developer II is responsible for designing, developing, and maintaining the Epic Cogito solutions that help the organization make data-driven decisions. This role requires strong analytical skills, strong proficiency in Epic’s Cogito tools, and the ability to translate business requirements into technical solutions as well as to lead projects involving cross-functional teams. - Participates in the design, development and maintenance of Cogito analytics solutions that transform data into insights through Reporting Workbench reports, Radar dashboards and Slicer Dicer self-service reporting capabilities. - Performs analysis including reviewing multiple data sets and data relationships to support research and business decisions. - Works in concert with application and business teams to understand business requirements and translating those requirements into developing value-add Epic driven solutions. - Develops and enforces implementation of standards and best practices involved in Epic Cogito solutions development and delivery. - Works with Data Engineering team by identifying opportunities to expand data sets and business intelligence tools to include additional data. - Assists with data lineage and coding to support this function. - Supports the data through its life cycle utilizing data governance principles that ensure data quality, integrity, stewardship, security, literacy and adoption. - Provides Technical Support and training to end users on BI tools and reports. - Mentors junior Epic Cogito Developers. Qualifications - Bachelor’s Degree in Business, IT, Math, Data Analytics, Engineering, or related discipline (Required) - Master’s degree in Business, IT, Math, Data Analytics, Engineering or related discipline (Preferred) - Epic Certification(s) and obtain Epic Cogito Certification (within 6 months of hire, 3 chances for exam) (Required) - Epic Cogito Certification (Preferred) Requirements - 5+ years using EHR Reporting tools. - 4+ years of experience with Data Lake, EDW and operational databases required. - 2+ years SQL experience. - Intermediate level knowledge EHR Reporting tools. - Strong problem-solving and analytical abilities. - Intermediate SQL skills. - Understanding data warehousing concepts and practices for managing large datasets. - Strong interpersonal skills and ability to work cross-functionally. - Ability to effectively communicate with technical and non-technical personas and make complex ideas understood. - Ability to understand the long-term ("big picture") and short-term perspectives of situations. - Ability to comprehend quickly the functions and capabilities of new technologies. Benefits - Combination of education and experience in lieu of a degree. - Displays intellectual curiosity and integrity.

• Consults, advises, leads and assists practice management in providing leadership and direction by performing financial and productivity reporting, clinical effort and compensation alignment, budget development and monitoring. • Fulfills service level assistance to assigned MCVP clinical departments to facilitate health system wide alignment. • Ensures compliance with VCU and VCUHS policies and procedures. • Works closely and in collaboration with MCVP Clinical Departments, physicians, advanced practice providers, staff, and management to resolve issues. • Maintains current knowledge of all state and federal laws and regulations and health system policies and procedures.

• Provides solutions to a variety of basic technical problems requiring analysis of multiple factors • Responsible for analyzing, implementing, modifying, and installing low-complex system build in different operational environments • Learns operational and technical workflows • Creates technical specifications, testing plans, and other documentation as defined • Assists with testing and supporting system upgrades and improvements • Understands and performs basic impact analysis functions and remediation • Performs troubleshooting efforts on application issues, submits service requests to vendors, and follows basic correction steps • Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS