Role Description This position is in the Health Information Management Service (HIMS) at James J. Peters VA Medical Center. The incumbent is responsible for reviewing the overall quality and completeness of clinical documentation. - Temporarily eligible for Remote work within 50 miles of a VA Medical Center. - May fall under the Presidential Memorandum titled "Return to In-Person Work" which will require you to go into the office if the exemption is not approved at the next review. - Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS - Inpatient)), GS-9 Assignment. - Inpatient CDISs must be able to perform all duties of a MRT (Coder-Inpatient). - Serve as the liaison between health information management and clinical staff. - Responsible for facilitating improved overall quality, education, completeness, and accuracy of health record documentation through extensive interaction with clinical, coding, and other associated staff. - Review documentation and facilitate modifications to the health record to ensure accurate severity of illness, risk of mortality, complexity of care, and utilization of resources. - Identify opportunities for documentation improvement by ensuring that diagnoses and procedures are documented to the highest level of specificity. - Recommend changes and/or update medical center policy pertaining to clinical documentation improvement. - Serve as a technical expert in health record content and documentation requirements. - Query clinical staff to clarify ambiguous, conflicting, or incomplete documentation. - Review appropriateness of and responses to queries through review of query reports. - Perform reviews of the health record documentation, developing criteria, collecting data, graphing and analyzing results, creating reports, and communicating orally and/or in writing to appropriate groups and leadership. - Obtain appropriate corrective action plans from responsible clinical service directors and recommend improvements or changes in documentation practices, when applicable. - Adhere to established documentation requirements as outlined by accrediting agencies guidelines, regulations, policies, and medical-legal requirements. - Monitor trends in the industry and/or changes in regulations that could or should impact coding and documentation practices and identify who may require education. - Responsible for the development and implementation of active training/education programs for all clinical staff to ensure the CDIS program objectives are met. - Provide training in small or large groups, educating clinical staff about current documentation standards and improvement techniques. - Apply applicable coding conventions and guidelines to identify the principal and secondary diagnoses, and complete significant procedures to accurately reflect the patient's hospital course and DRG assignment in the inpatient setting. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification or Mastery Level Certification through AHIMA or AAPC. Requirements - Experience equivalent to the journey grade level of a MRT (Coder-inpatient). - An associate's degree or higher, and three years of experience in clinical documentation improvement. - Mastery level certification through AHIMA or AAPC, and two years of experience in clinical documentation improvement. - Clinical experience such as RN, M.D., or DO, and one year of experience in clinical documentation improvement. - Demonstrated Knowledge, Skills, and Abilities (KSAs) must be demonstrated on your resume or submitted as a supporting document as part of your application package. Benefits - Work Schedule: Monday to Friday, 8:00am to 4:30pm EST. - Remote: The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. - Selectees must live within 50 miles of a VA Medical Center (NOTE: This does not include CBOCs). - Telework: Not applicable, this is a remote position. - Virtual: This is not a virtual position. - Relocation/Recruitment Incentives: Not Authorized. - Permanent Change of Station (PCS): Not Authorized. Education Requirements - Transcripts are not required but should be included with application materials if basing any of your qualifications on education. - Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. - If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. Physical Requirements See VA Handbook 5019.

• Responsible for Clinical Operations activities in assigned ASCs within a geographic region. • Acts as consultant/clinical quality subject matter. • Executes AMSURG clinical strategy/best practices. • Implements and monitors all Clinical Quality plans within center. • Manages review and approval of corporate and clinical policies and procedures. • Responds to physician partners and all provider concerns. • Participates in centers’ business planning processes. • Communicates with center leadership, physicians, and operations. • Conducts analysis of clinical staffing, supply, and drug costs. • Provides support to Center Administrators in the development of all Center Action Plans.

Role Description We are seeking a Clinical Operations Lead (Japan) to build and scale a safe, high-quality, and compliant clinical operation in one of our most important growth markets. This role will lead the development of a scalable prescriber workforce, establish strong clinical governance frameworks aligned with Japanese regulations, and act as the primary clinical representative for the Japan market. You will work closely with global and local teams - including product, pharmacy partners, and patient support to ensure high-quality, culturally appropriate care delivery. This role requires a balance of hands-on execution and strategic leadership in a fast-paced, high-growth digital health environment. Key Responsibilities - Clinical Strategy & Market Development (Japan) - Lead clinical input for new product launches and market expansion in Japan - Adapt global clinical models to align with local regulations, prescribing practices, and patient expectations - Shape and continuously improve Japan-specific models of care - Workforce Scaling & Prescriber Management - Build and scale a reliable, high-quality prescriber network in Japan - Partner with hiring teams to design and execute screening, assessment, and onboarding processes - Establish systems for rostering, utilisation, and performance management - Support clinicians with clear guidance, ensuring consistent and safe prescribing practices - Clinical Quality, Insights & Risk Management - Monitor clinical performance through audits, data analysis, and prescriber insights - Lead clinical incident and complaint management, including triage, escalation, and resolution - Implement continuous quality improvement initiatives to enhance patient outcomes - Develop scalable clinical guardrails and safety protocols - Clinical Advisory & Cross-Functional Collaboration - Act as the clinical subject matter expert for Japan across all functions - Review and localise clinical content, patient communications, and educational materials - Collaborate closely with pharmacy partners, operations, and patient support teams - Ensure effective coordination for clinical risk management and escalation pathways - Clinical Governance & Compliance (Japan) - Establish and maintain clinical governance frameworks aligned with Japanese healthcare regulations - Develop clear clinical protocols (e.g., prescribing criteria, eligibility thresholds, escalation processes) - Support regulatory readiness, audits, and compliance requirements - Work closely with external stakeholders to ensure adherence to local standards of care - Practitioner Collaboration & Leadership - Act as the primary escalation point for Japanese prescribers and clinicians - Foster strong collaboration between remote practitioners and internal teams - Provide clinical leadership, guidance, and ongoing support to practitioners - External Engagement & Stakeholder Management - Build relationships with regulatory bodies, clinical associations, and healthcare stakeholders in Japan - Represent the company in industry events, conferences, and external forums - Support efforts to build trust and credibility in the Japanese healthcare ecosystem Qualifications - Licensed healthcare professional in Japan (e.g., physician, pharmacist, or allied health professional) - Strong understanding of the Japanese healthcare system, regulations, and prescribing practices - Experience in clinical operations, digital health, or healthcare strategy - Proven ability to build and scale teams or processes in a fast-paced environment - Strong stakeholder management skills, with the ability to work across local and global teams - Fluent in Japanese (native level) and comfortable working in English Benefits - Thoughtful, evidence-based clinical care - Ethical and responsible prescribing - Accessible, affordable treatment options - Warm, non-judgemental support for every patient - Access learning budgets (includes language learning), shadow peers in other teams, and learn from a global knowledge-sharing culture - Enjoy wellness budgets, mental health support through our Employee Assistance Program, annual health checks, flu shots, and work from anywhere policy - Work with state-of-the-art tools and contribute to bold, impactful solutions in healthcare

Role Description The Clinical Program Advisor focuses on providing expert consultation on rebate contracts and formulary strategies for complex custom clients, including data analysis, scenario modeling, and financial impact assessments. It involves collaborating with Clinical Account Executives to develop strategies, lead interdepartmental discussions, and ensure accurate documentation and optimization of modeling processes. Additionally, the position requires creating client presentations and maintaining alignment with departmental goals. - Provide consultation through rebate contract interpretation and strategic opportunity identification. - Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e., Pharmacy Directors, VP’s, etc.). - Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives. - Ability to perform independent modeling with little to no modeling oversight by Clinical Program Sr. Advisor/Sr. Manager. - Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options. - In collaboration with Clinical Account Executives, discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract. - Analyze the financial impact of client requested formulary changes to both the client and Express Scripts. - Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation. - Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions. - Effectively document and communicate formulary analysis projects (i.e., model maintenance and QC). - Ensures optimization of work processes for formulary modeling strategies and achievement of department goals. Qualifications - Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License. - 2+ years of working in the pharmacy environment. - 1+ years of significant formulary management/development experience. - Detail Oriented Organizational and Analytical skills. - Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database. - Financial or analytical modeling experience. - Familiarity with pharmaceutical rebate contracts a plus. - Proven ability to work in a fast-paced – ever-changing environment. - Excellent relationship building and cross-functional skills. - Ability to travel approximately 10%. Requirements - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. - For this position, we anticipate offering an annual salary of 123,400 - 205,600 USD / yearly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan. Benefits - Comprehensive range of benefits with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of your employment. - 401(k) and company paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays.