8 jobs found in Raleigh, NC

Overview: Serves as the primary Decision Support lead for clinical service line & patient financial data reporting & analysis. Analyzes clinical, financial, and operational data to optimize clinical service-line profitability, forecasting, and strategic planning. Leads teams to provide data-driven insights to improve margin performance and support executive decision-making within the health system.Responsibilities also include the development of our decision support tools to enhance and improve efficiencies in the clinical service line and month-end patient data reporting & analysis. Additional responsibilities include business case development and ad-hoc reporting. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information,...

Overview: Provides strategic leadership and technical oversight for the Revenue Integrity Department. Ensures accurate, complete, and timely charge capture and reconciliation, optimizes reimbursement, and safeguards compliance with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational teams. Through innovative strategies and continuous process improvement, this position enhances revenue cycle performance and supports organizational financial health. Leadership and Oversight: Supervise and mentor the Revenue Integrity teams, including nurse auditors, coders, analysts and specialists. Monitor performance metrics and implement continuous improvement strategies. Conduct performance evaluations and support professional development for direct reports. Charge Capture and Systems Management: Oversee the development...

Overview: Provides analytical and technical expertise for finance activities throughout the healthcare system. Supports the decision support and financial reporting systems. Participates in training co-workers and other users on these tools. Serves as a primary decision support and financial planning team member. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org . EOE Licensure: Not Applicable Education: Bachelor's Degree Business Administration Or Finance Required Master's Degree Preferred Experience: 4 Years Accounting/Finance - Accounting and Financial Analysis Required

Overview: The Revenue Integrity Analyst oversees the activities of the Denial and Avoidable Write Off committee meetings. The Analyst assists in identifying sources of denials and avoidable write offs and helps to perform root cause analysis. The Analyst is proficient in Excel and extracts data to provide to Executive Leadership. Prepares, compiles, distributes, and analyzes regular reports that results in financial impact and initiates proactive communications within appropriate departments. Works with the Revenue Integrity Manager and other operational leaders to develop strategies to correct negative trends and identifies areas of opportunity of improvement. Performs other related duties incidental to the work described herein.   **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve...

About Us: We perform installation, rigging, millwrighting, and maintenance for manufacturing and industrial markets across the Southeast. Job Summary: Southern Industiral Constructors INC. is seeking a Senior Accountant to work out of our Raleigh, NC office.  The Senior Accountant works within the Corporate Accounting Department and contributes to the integrity of accounting data as well as financial reporting through assisting in the recording and verification of general ledger transactions.  The Senior Accountant works closely with the Controller and Assistant Controller.   #SIC #LI-KF1 #LI-onsite Essential Duties & Responsibilities: Actively promotes and strengthens our core values and culture of Mission First, People Always through everyday actions and decisions. Assist in monthly financial statement preparation including preparing and recording of various closing journal entries as well as reviewing general ledger transactions. Perform month-end...

Overview: The Managed Care Operations Lead serves as a resource and advisor, directs all aspects of managed care operations including system wide credentialing with managed care plans, contract performance monitoring and reporting, and contract payment modeling and analysis. Works in collaboration with Chief Financial Officer, consultants Vice President of Finance, Director and Managed Care Specialists to recommend contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services, Patient Access and other departments in the hospital in an effort to create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve...

Overview: Responsibility for financial accounting for WakeMed Property Services, assigned affiliate entities, leases (and reviewing for compliance with GASB87), and eliminations. Serves as the primary contact person and Corporate Accounting liaison to Property Manager and assigned affiliated entities. Other duties include invoicing for assigned areas through Infor A/R billing module and reviewing software subscription agreements for compliance with GASB96. Serves as lead for maintaining Lease Query software for both GASB87 and GASB96. Submits annual required LLC filings. Responsible for other related requests, as directed. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit  www.wakemed.org . EOE Licensure: Certified...

Overview: Oversees the data gathering, financial modeling and creation of ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports are used for contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process. The role is also responsible for maintaining and auditing the current financial models in the finance database system for accurate reporting, and investigating over and under payments for claims variances and participating in various department related special projects Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit  www.wakemed.org . EOE Licensure: Not Applicable...