9 science jobs found in Cary, 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: Serves as the primary finance and accounting liaison to the assigned WakeMed enterprise. Responsible for managing key financial functions of the enterprise, including financial and capital planning, performance management, productivity, compensation modeling, month-end variance analysis, financial analysis and modeling for new projects and Certificates of Need. Responsible for coordinating and reporting financial results to corporate finance and accounting, as well as the enterprise operational leaders and staff. Functions as the facility benchmarking coordinator for the enterprise. Collaborates with the cost accounting team to update cost accounting assumptions for the enterprise. Participates on leadership committees and process improvement initiatives at the enterprise and the corporate offices. Participates in community events that are planned in the enterprise market as required. Ensures that all reports and projects are within corporate financial standards....

Overview: The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor contracts' compliance. Directs organizations efforts at building relationships with area managed care plans. Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees facility what-if modeling analysis performed in STRATA modeling tool. Oversees the following noncontracting Managed Care responsibilities: hospital contract loading in EPIC, hospital payment variances, facility credentialing. Works with CFO, Vice President of...

Overview: The Finance & Accounting Representative is responsible for accurate billing of claims according to payor guidelines, resolving claim edits, claims processing, claims follow up activity, resolving denied claims and special collections. Acts as a resource by providing support for Patient Account Representative positions within the department. 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: High School Diploma or Equivalent Required Associate's Degree Business Administration Preferred Experience: 2 Years Accounting/Finance - Collections Required 2 Years Accounting/Finance - Patient Accounting Required

Overview: The Team Leader, Claims & Billing is responsible for providing support to staff and management. Serves as a resources for the Hospital Claims & Billing office. This position will require a high level understanding of processes and systems as they relate to the functions of the business office, including basic medical diagnosis and procedure coding. 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: High School Diploma or Equivalent Required - And Associate's Degree Business Administration Or Accounting Or Finance Or Healthcare Preferred Experience: 4 Years Accounting/Finance - Finance Or Accounting/Finance - Billing Or Healthcare...

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 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: 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...