Jobs at Boston Medical Center (BMC)

Processes prior authorization, referral, insurance verification, and financial clearance requests for scheduled healthcare services. Verifies patient eligibility, demographics, and coverage; obtains payer approvals; documents authorizations in Epic and related systems; communicates with patients, providers, and insurers; handles inquiries and escalations; supports denial resolution and peer-to-peer reviews; and maintains productivity, accuracy, confidentiality, and compliance standards.

Supports pediatric and public health research programs through recruitment, scheduling, data collection, database maintenance, reporting, literature searches, and manuscript preparation. Manages program records, grant documentation, communications, and office tasks. Also creates multimedia and social media content, including graphics, copy, short videos, and training materials. Provides data-entry quality checks and technical guidance to junior staff while supporting investigators and community-based research initiatives.

The Senior Pharmacy Business Analyst monitors pharmacy performance, identifies trends and root causes, and translates operational and financial data into actionable recommendations. The role builds Tableau dashboards, queries enterprise data warehouses with SQL, prepares executive reporting, and partners with pharmacy, Finance, Operations, and Clinical leaders. Responsibilities include recurring report ownership, quality assurance, planning support, ad hoc analysis, and communicating insights to senior stakeholders.

Leads complex pediatric public health research projects for the CHAMPS National program. Responsibilities include developing protocols and assessment tools, coordinating hospitals and research teams, managing timelines and budgets, overseeing data collection and analysis, ensuring protocol and HIPAA compliance, training staff, supervising research personnel, supporting IRB and safety board activities, and contributing to manuscripts, presentations, proposals, and CDC reporting. Some travel to hospitals and community project locations is required.

Processes prior authorization, referral, insurance verification, and financial clearance requests for inpatient, outpatient, and ancillary services. Reviews payer requirements, obtains approvals, updates patient and insurance information, documents authorizations in Epic and related systems, and resolves escalated inquiries. Collaborates with patients, providers, payers, clinicians, and hospital departments while meeting productivity, accuracy, turnaround-time, confidentiality, and compliance standards.

Designs, builds, and manages cloud-based data systems, including pipelines, data lakes, warehouses, lakehouses, databases, and ETL processes. Develops optimized Python and SQL queries, improves workflow performance, and supports data movement between on-premises and cloud environments. Collaborates with leadership, analysts, research teams, and other departments to define requirements and reporting needs. Applies data governance, access controls, security, compliance, troubleshooting, and system support practices.

Leads finance transformation, integration, and innovation initiatives supporting the Finance Roadmap. Responsibilities include managing strategic workstreams, analyzing information, developing financial models and recommendations, coordinating cross-functional teams, improving systems and processes, establishing performance metrics, mitigating risks, presenting findings to senior leaders, and driving automation. The role partners with Finance, technology, operational, and clinical stakeholders while overseeing multiple initiatives and supporting implementation of transformation solutions.

Manage post-award financial functions for an assigned grants and contracts portfolio: account reconciliation, budgeting, forecasting, reporting, payroll/personnel administration, closeouts, and collaboration with PIs and research administration to ensure compliance and timely financial information.

Develop and maintain Epic Healthy Planet registries and analytics solutions: gather requirements, profile Epic source data, build rules/metrics/dashboards, provide ad-hoc analysis, support end users, document solutions, and mentor users.

Lead enterprise sourcing and contracting for a health system across clinical and non-clinical categories. Develop category strategies, drive clinical standardization, achieve cost savings, manage a sourcing team, govern supplier performance, mitigate supply risk, and enforce contract compliance.

The Director of Telecommunications leads strategic and operational initiatives for telecommunication systems, focusing on modernizing contact centers, enhancing patient and member experience, and integrating communication tools with clinical systems.