Jobs at Community Health Systems

Supports oversight, accreditation, compliance, quality improvement, and operational excellence for Graduate Medical Education programs. Collaborates with corporate and facility leadership, guides new and existing ACGME program accreditation, monitors compliance, develops processes, trains GME staff, and implements initiatives that improve program quality and efficiency.

Verify insurance eligibility and benefits, ensure authorizations/referrals and medical necessity per payor guidelines, estimate patient financial responsibility, document records, communicate with patients and medical staff, process orders, and support financial clearance for outpatient and inpatient services.

Create, maintain, and publish clinician schedules for assigned hospitals; fill open shifts; track clinician hours and credentials; coordinate with payroll, credentialing, recruiting, and leadership; produce staffing and performance reports; support orientations and emergency scheduling; ensure compliance with policies and budget constraints.

Lead regional quality and compliance for clinic operations: develop and monitor quality programs, perform audits and risk assessments, implement corrective actions, train staff, report metrics to leadership, and ensure regulatory adherence while supporting continuous improvement.

Lead and manage a virtualization team operating mixed VMware and Nutanix environments. Ensure availability, performance, security, upgrades, migrations, automation, capacity planning, incident management, vendor relations, KPIs, and alignment with cloud and business objectives.

Design, build, and optimize scalable cloud data pipelines and infrastructure. Maintain and refactor SQL and ETL processes, automate data workflows, ensure data quality/security, and troubleshoot complex issues. Provide technical leadership and mentor junior engineers while collaborating with stakeholders to translate requirements.

Evaluate medical necessity and appropriateness of hospital admissions and continued stays using evidence-based criteria. Perform reviews, document in case management systems, coordinate with clinicians and payers, support denials and appeals, analyze utilization trends, and assist with process improvements and training to optimize resource use and compliance.

Senior techno-functional analyst to implement, support, and optimize Oracle Fusion Financials and PPM modules. Duties include requirements gathering, configuration, integrations, OTBI/BIP reporting, testing, production support, training, and mentoring junior staff while shaping long-term application strategy.

Provide legal guidance on healthcare law, contracts, regulatory compliance (Stark, Anti-Kickback, HIPAA), corporate governance; draft and negotiate agreements; assess legal risk; support policy, training, investigations, and collaborate with internal teams and outside counsel.

Evaluate medical necessity and appropriateness of hospital services through admission and continued-stay reviews. Document reviews in case management software/EHR, coordinate with physicians and payers for authorizations, support denials and appeals, analyze utilization trends, and collaborate with case managers and discharge planners to optimize resource use and compliance.

Lead workflow mapping, gap analysis, validation/testing, go‑live support, change management, and performance analysis for clinical information systems. Mentor junior informaticists and act as liaison between clinical teams and IT, applying regulatory standards and best practices to improve patient care and workflows.

Lead an Automation Center of Excellence to build and maintain IaC, automation pipelines, and configuration management across colo and multi-cloud (Azure, GCP, OCI). Drive standardization, governance, security controls, CI/CD integration, incident management, GitOps and policy-as-code adoption. Mentor team members, manage vendor relationships, measure automation KPIs, and provide executive reporting. Participate in on-call rotation and work outside normal hours as needed.

Manage utilization review processes including submissions, authorizations, denials, and appeals. Coordinate with payers, clinical specialists, and hospital staff to secure timely authorizations, document activities in case management systems, support Peer-to-Peer discussions, maintain KPIs, assist with training, and improve processes to reduce denials and optimize patient outcomes.

Manage centralized Clinical Documentation Improvement operations, monitor performance metrics, lead and educate CDI staff and providers, collaborate with coding/HIM and clinical teams, drive documentation integrity, support audits and regulatory readiness, and travel to facilities for operational alignment and performance improvement.

Lead enterprise Digital Employee Experience strategy and roadmap, assess DEX maturity, prioritize and manage portfolio investments, provide architectural guidance for modernization initiatives, evaluate emerging technologies, govern architecture standards, and mentor architects and engineering leaders to improve workforce productivity and engagement.

Review inpatient records to improve clinical documentation accuracy, ensure coding reflects patient severity, manage physician queries, track CDI metrics, provide provider education, collaborate with coding teams, and maintain regulatory compliance using CDI and medical records software.

Performs independent diagnostic ultrasound examinations, verifies patient ID and orders, documents findings in EHR and PACS, ensures patient safety and comfort, maintains equipment and supplies, follows protocols and infection control, and holds required sonography certification and BCLS.

Evaluate medical necessity and appropriateness of admissions and continued stays, conduct reviews using evidence-based criteria, coordinate with providers and payers for authorizations and appeals, document activity in case management/EHR, analyze utilization trends, support training, and escalate complex issues.

Manage utilization review processes including initial and continued stay reviews, payer communications, authorization tracking, denial/appeal coordination, documentation in case management systems, KPI monitoring, peer-to-peer coordination, and training/support for team members to optimize patient authorization and reduce denials.

Lead strategy, governance, and optimization of Oracle Fusion HCM. Oversee HRIS roadmap, configuration, security roles, data integrity, mass imports, custom tables, audits, documentation, user training, reporting/analytics, and cross-functional collaboration with HR, IT, Payroll, and Accounting to drive continuous improvement and system adoption.