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Job Description In the Quality Improvement Specialist role, you will be responsible for identifying, implementing, and managing cross-setting quality improvement strategies based within hospital, nursing home, home health, hospice, dialysis and physician practice settings. The Quality Improvement Specialist works with senior leadership, direct care and performance improvement professionals in these settings to ensure the implementation and ongoing internal monitoring of evidence-based interventions in a timely and effective manner. The Quality Improvement Specialist also works with professional health care organizations and community-based organizations to enlist their support as partners in improving transitions of care across the health care continuum. Collaborates with subject matter experts on topics such as infection prevention, (including COVID-19), immunizations and drug safety to carry out one-to-one quality improvement (QI), small group educational activities, learning action networks and resource development. Duties to include but not limited to: • Recruiting and engaging health care providers, community-based organizations, faith-based organizations, community centers, human service agencies, political leaders, business leaders, media, consultants, educational institutions and others in collaborative partnerships to identify opportunities to improve patient outcomes related to quality and efficiency., • Establishing and facilitating learning and action networks using in person meetings, teleconferences, and webinars., • Providing technical assistance to healthcare providers on root cause analysis research methods to define opportunities to improve outcomes of care and avoid harms., • Managing groups of providers by monitoring clinical outcomes and quality improvement measures to demonstrate sustainment of initiatives., • Monitoring closely the progress of provider intervention efforts and maintain a tracking system for the adopted interventions., • Ensuring internal reports and required documentation are completed and submitted on time., • Presenting results of interventions through meetings with internal and external customers (i.e., Government agencies, providers, IPRO management and staff) and through large group presentations at conferences and meetings, as requested., • Assessing the quality improvement training and information needs of clinicians, administrative, and ancillary staff and coordinate appropriate educational efforts., • Working closely with the data analysts in the design of reports required to monitor provider and department performance, making necessary adjustments in interventions and plans in response to findings., • Attending and participating in IPRO regional conferences, department meetings and professional education meetings., • Participating as an active member of HealthCare Quality Improvement (HCQIP) team and works to ensure that the department meets all the defined goals and deliverables in assigned contract(s). This position is office based at our Jericho, NY or Albany, NY office. QUALIFICATIONS: • Superior communication skills (verbal and written) with the ability to communicate quality improvement data and methods to health care providers and community stakeholders with varying technical and clinical backgrounds., • Knowledge of the principles and practices of health care quality improvement and community organizing. Experience with quality improvement research techniques and knowledge of disparities in the care of underserved populations., • Strong interpersonal skills with a proven record of developing productive relationships with health care provider staff, consumers and stakeholders., • Strong time management skills with the ability to multi-task and meet multiple deadlines., • Proven record of success in promoting improvement in community health quality and efficiency., • Ability to work independently with minimal supervision, as well as in a team environment., • Computer proficiency with a developed knowledge of Microsoft applications (Word, Excel, PowerPoint and Smartsheet)., • Ability to provide formal and informal presentations to internal staff and external customers., • Ability to travel to conduct various quality improvement intervention meetings, participate in regional IPRO conferences, attend project specific educational and/or collaboration meetings, and meetings with government agencies as required. EDUCATION & EXPERIENCE: • Bachelor’s degree in education, nursing, public administration, public policy, public health or degree in related healthcare field, OR RN with Associate’s degree required., • Two (2) years of experience working in health care quality improvement, required., • Certified Professional in Healthcare Quality (CPHQ) or other quality certification, preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $75,000.00 – $80,000.00. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description In the Senior Quality Improvement Specialist (Sr. QIS) role, you will be responsible for facilitating HCQIP strategies to promote improvement in care in specific health care settings (hospital, nursing homes, ambulatory clinics, physician offices, etc.). The Sr. QIS plays a lead role in educating staff who deliver heath care about quality improvement principles and methods; assists facility management and staff in identifying opportunities for improvement and devising strategies/plans to address them; evaluates facility progress and suggests ways to overcome barriers; facilitates organization of regional groups of providers to address common problems and share best practices. In addition, the Sr. QIS plays a lead role in projects involving other IPRO staff, acts as a mentor to QIS staff, and makes presentations before large groups and IPRO senior management on the results of performance improvement projects. Duties include but are not limited to: • Develop and continually refine methods for working with healthcare provider staff to implement effective and timely interventions that improve performance on quality indicators., • Conduct onsite visits at assigned health care settings. Detail quality improvement projects to provider staff and follow up on a regular basis., • Closely monitor the progress of provider staff in their intervention efforts, develop and maintain a tracking system for the intervention phase of all cooperative projects., • Assess the quality improvement training and information needs of physicians, nurses, health care administrators and ancillary staff., • Coordinate efforts to conduct interim assessments of audit and feedback., • Offer technical assistance and consulting to providers in response to the assessment of their quality improvement plans., • Works closely with the HCQIP data analysts in the design of reports required to monitor provider and department performance. This position is office based at our Jericho, NY or Albany, NY office. QUALIFICATIONS • Superior communication skills (verbal and written) with the ability to communicate quality improvement data and methods to health care provider staff with varying technical and clinical backgrounds., • Strong interpersonal skills with a proven record of developing productive relationships with health care provider staff., • Excellent organizational skills, including the ability to manage a large database of schedules and reports., • Ability to work independently with minimal supervision and as part of a team., • Proven record of success in promoting improvement in health care quality., • An understanding of disparities in the care of underserved populations., • Proficient in the use of MS Word, Excel and PowerPoint., • Ability to travel to various sites throughout New York State. EDUCATION & EXPERIENCE • Bachelor’s degree in education, nursing, public administration, public policy, public health or related program that provides the skills needed to conduct performance improvement activities required **A licensed RN (Registered Nurse) or PA (Physician’s Assistant) without a bachelor’s degree who possesses an exceptional record of relevant accomplishments will be considered in lieu of the degree. A master’s degree preferred., • Five (5) years of experience in health care quality improvement, including at least two (2) years of experience as a Quality Improvement Specialist, required., • Certified Professional in Health Care Quality (CPHQ) preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $85,000.00-$90,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description As the Senior Director (In-House Counsel) you will be responsible for overseeing and directing the corporate compliance program. Providing legal guidance to the IPRO staff and serve as liaison on legal issues with IPRO contracted legal firms. Provide guidance/assistance for completion of all legal documents including contracts and other agreements. ESSENTIAL DUTIES INCLUDE BUT ARE NOT LIMITED TO: • Provide leadership in the daily operations of the Administrative Services Department, which includes Legal Affairs, Compliance and Contracts Program., • Contract Management: Draft, review and negotiate terms and conditions of legal documents such as leases, contracts, privacy, and security agreements, etc. within prescribed timeframes., • Regulatory Compliance: Ensure company operations comply with local, state, and federal laws. Assist in implementation of programs, policies, and business practices to ensure that all departments in the company are in compliance with applicable statutes and regulations., • Training: Develop and provide employee training on legal and compliance-related topics, policies, or procedures., • Risk Management: Identify legal risks for company products, services and operations and assist in development of corporate risk management strategies to mitigate them., • Investigations: Identify reported issues that require follow-up or investigation and conduct internal investigations of detected compliance issues., • Internal Auditing: Conduct periodic internal reviews or audits to ensure that company procedures are followed and to monitor effectiveness of implemented corrected actions., • Reporting: Maintain documentation of compliance activities, including but not limited to, complaints received and investigation outcomes. Conduct legal reviews for assigned contracts which may include compilation of applicable laws, regulatory guidance, literature reviews, and preparation of advisory reports., • Internal Advisor: Serve as a confidential point-of-contact for employees to communicate with staff, at all levels, to help them seek clarification on compliance issues or report irregularities/violations., • Outside Counsel Management: Coordinating with external law firms on specialized litigation or transactions. Manage outside counsel and Legal Department staff., • Corporate Governance: Support governance functions and Board-related activities. Provide staff support to the IPRO Board Compliance Committee and Board Cybersecurity Committee., • Policy Development. Responsible for updating, implementing and writing company-wide policies and procedures consistent with federal, state and local regulatory mandates., • Publishes and updates corporate policies and procedures pertaining to legal and compliance matters., • Proposal Development. Assist in the preparation of the federal, state and private Requests For Proposals including preparation of analyses of Conflict of Interest issues and compliance plans as well as review of nondisclosure/teaming agreements, contracts, subcontracts, and independent contractor agreements., • Records Management: Serve as corporate Records Custodian. Assist outside counsel on document production requests and litigation matters This position is office based at our Jericho, NY office QUALIFICATIONS: • Ability to plan, coordinate and complete many projects simultaneously., • Ability to proactively solve problems and contribute decision-making affecting corporate strategy., • Strong business acumen, excellent verbal and written communication skills., • Ability to relate interpersonally to all levels of staff. EDUCATION & EXPERIENCE: • Juris Doctor Degree from ABA-accredited law school, required., • Admission to New York State Bar, required. License must be active and in good standing., • Seven (7) years legal experience including three years experience in field of Government Contracting or Compliance, required., • Three years supervisory experience, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $165,000.00 – $180,000.00. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Job Description The Business Analyst (BA) is a vital liaison between business stakeholders and the technical team. In the Business Analyst role, you will interact with key business lines, understanding the roles and responsibilities of the business line, how the work is completed today and collaborating to re-imagine how the work can be completed in the future utilizing advanced technologies. Reporting to and working closely with the Sr. Director of Program Management, this individual will be responsible for collaborating with business SMEs to identify business challenges, develop and deploy new business processes, enhance existing processes and/or sunset processes that no longer support the business need, translating business requirements into IT solutions. These responsibilities include participating actively in the development life cycle including use case documentation, user acceptance testing, release management and end user training / support. This position is office based at our Jericho, NY office. QUALIFICATIONS: Required Qualifications • 4+ years relevant business experience, • 3+ years of experience with requirements analysis and authoring documentation, • Must possess exceptional analytical and conceptual thinking skills Preferred Qualifications • Exceptional user-centric product and design sense with a strong track record of delivering healthcare product experiences that users love and that create business impact and improves health outcomes., • Excellent communication and presentation skills, including executive presence, an ability to effectively communicate with both business and technical teams and command of group dynamics to drive team and stakeholders to effective decisions or consensus., • Strong analytical skills and comfort in analyzing and applying data to inform decisions., • Proven ability to collaborate cross-functionally with a broad range of stakeholders., • Excellent business judgment and ability to adapt to changing context., • Strong written and verbal communication skills with a strong attention to detail., • Passion for changing how people experience healthcare., • Experience with Salesforce, Jira, Confluence is a big plus., • Clinical experience in a Public Health or Behavioral Health setting and/or clinical degree or certification is a big plus. EDUCATION AND EXPERIENCE: • Bachelor’s degree in Business Administration, Computer Science, Technology or a related field, required., • Three (3) years of experience as a Business Analyst or Solutions Consultant, required., • One (1) year of experience in generating business process current and future state documentation and workflows, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $90,000.00-$110,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description The Program Support Coordinator will be responsible for the clerical and/or data support functions of the review departments. This individual interacts with staff of assigned hospitals regarding notification of monitoring dates and review determination notifications sent to hospitals. Duties include but are not limited to: • Responsible for the clerical/data functions for an assigned group of hospitals., • Sort sample selection and provide notification of monitoring dates to hospitals., • Forward and track monitoring forms and information sent to hospitals for IPRO staff to utilize., • Conduct support review tasks as required - i.e. request charts, set up charts and forms for PRA/MRA and PC review, send and receive charts to review and physician consultants, send out pre-denial/final determinations and appeals, maintain files and hospital logs, prepare copies for distribution/mailing for retrospective reviews, cost outliers and special studies., • Responsible for typing physician consultant responses such as approved or denied cases at all levels when necessary as well as proofing of typing., • Screen telephone calls from hospitals for retrospective areas, cost outliers, special studies, PASRR and IPRA., • Maintain files and records of the department or of assigned/designated hospitals., • Assist team members to maintain adequate flow of department responsibilities., • Maintain consistent emphasis on customer satisfaction both internal and external to maintain a working quality system and continued improvement. This position requires working on-site at the Jericho, NY office. QUALIFICATIONS: • Computer proficiency with excellent typing skills. Basic knowledge of data entry functions., • Knowledge of correct grammar. Familiarity with medical terminology is preferred., • Good communication skills (written and verbal) with a professional telephone etiquette and demeanor., • Good interpersonal skills with the ability to interact with various levels of internal and external customers., • Good time management skills with the ability to prioritize work and work independently., • Ability to lift a minimum of 25 lbs. EDUCATION & EXPERIENCE: • High School Graduate or equivalent, required. Some college or secretarial school (with a focus on medical terminology), preferred., • Two years of related experience. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $20.24-$21.24. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description In the Manager (Sr. Quality Improvement Specialist) role, you will be responsible for facilitating healthcare quality improvement strategies (HCQIP) to promote healthcare improvement in specific health care settings (hospital, nursing homes, ambulatory clinics, physician offices, etc.). The Manager (Sr. Quality Improvement Specialist) plays a lead role in educating staff who deliver about health care quality improvement principles and methods; assists facility management and staff in identifying opportunities for improvement and devising strategies/plans to address them; evaluates facility progress and suggests ways to overcome barriers; facilitates organization of regional groups of providers to address common problems and share best practices. The Manager (Sr. Quality Improvement Specialist) plays a lead role in project management, manages and mentors QISs, and makes presentations before large groups and IPRO senior management on the results of performance improvement projects. The Manager (Sr. Quality Improvement Specialist) will manage the work at the state level; build relationships with federal, state, local, and community-and private-sector partners; and serve their assigned Providers/Practices (P/Ps). Duties include but are not limited to: • Developing and continually refining methods for working with healthcare provider staff to implement effective and timely interventions that improve performance on quality indicators., • Conducting one-to-one meetings with healthcare providers and key stakeholders., • Closely monitoring the progress of provider staff in their intervention efforts, developing and maintaining a tracking system for the intervention phase of all cooperative projects., • Assessing the quality improvement training and information needs of physicians, nurses, health care administrators and ancillary staff., • Offering data driven technical assistance and consulting to providers in response to the assessment of their quality improvement plans., • Ensuring internal reports and required contractor reports related to assigned providers are completed and submitted on time., • Conducting research and maintaining expertise in assigned state's healthcare landscape, engaging defined health care providers, key stakeholders and interested parties in QI initiatives and current and emerging events., • Serving as the primary or secondary (back-up) to QISs for assigned list of providers., • Meeting with provider senior leaders and facilitating monthly partner meetings to assess state-specific needs and develop plans to address mutual aims., • Conducting environmental assessments to understand the needs and deliver appropriate solutions., • Providing monthly report updates on retention., • Serving as a mentor and support new employees, team members and peers. This position is office based at our Jericho, NY or Albany, NY office. QUALIFICATIONS • Superior communication skills (verbal and written) with the ability to communicate quality improvement data and methods to health care provider staff with varying technical and clinical backgrounds., • Strong interpersonal skills with a proven record of developing productive relationships with health care provider staff., • Excellent organizational skills, including the ability to manage a large database of schedule and reports., • Ability to work independently with minimal supervision and as part of a team., • Proven record of success in promoting improvement in health care quality., • An understanding of disparities in the care of underserved populations., • Proficient in the use of Salesforce, MS Word, Excel and PowerPoint., • Ability to travel to various sites. EDUCATION & EXPERIENCE • Bachelor’s degree in education, nursing, public administration, public policy, public health or degree in related healthcare programs. Master’s degree preferred., • Five (5) years of experience in health care quality improvement required., • Certified Professional in Health Care Quality (CPHQ) preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $95,000.00-$100,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description As part of IPRO, the Senior Data Scientist will join a dedicated health care quality improvement team. Your work will include collecting and reviewing data, developing analytic approaches, producing reports and dashboards, conducting root-cause analyses, and summarizing information for internal and external stakeholders. You will also be involved in internal and client projects that leverage advanced analytic approaches including program evaluation, predictive modeling AI/ML techniques, and more. Join our mission-driven team that advances quality healthcare in areas related to improving population health, drug safety, patient safety, chronic disease management, care coordination, infection control, immunizations, and advancing digital readiness of providers. This position is office based at our Albany, NY or Jericho, NY office. ESSENTIAL JOB FUNCTIONS: • Understands program needs and business processes and goals. Aligns analytic approaches to program needs., • Helps business users create optimal business requirements/acceptance plans., • Works with stakeholders to improve business outcomes., • Designs analytics reports, dashboards and models., • Applies data validation strategies and techniques to ensure analyses use high-quality data., • Think creatively and apply natural curiosity to discover solutions., • Conducts analysis and builds models using multivariate techniques and other advanced approaches., • Troubleshoot any data to ensure accuracy and data integrity., • Produces all agreed upon deliverables on or ahead of schedule., • Writes reports with charts and graphs and summarizes findings and recommendations. QUALIFICATIONS: • Strong analytical skills., • Strong proficiency in two or more of each of the following areas:, • Statistical analysis and data management tools (e.g., Python, SQL, SAS), • Visualization and reporting tools (e.g., Tableau, MS Excel, Power BI), • Presentation tools (e.g., MS Word, MS PowerPoint), • Strong proficiency in relational database concepts/query tools (e.g. SQL)., • Strong time management skills with the ability to work on multiple projects, change priorities as needed, while maintaining precision and a strong attention to detail. Ability to produce assigned deliverables within assigned deadlines., • Strong communication (written and verbal) skills. Ability to communicate complex concepts to technical and non-technical audiences., • Experience connecting many types of healthcare data (e.g. payer administrative, EMR, social determinants, patient-self reported) to answer complex business questions. EDUCATION & EXPERIENCE: • Master’s degree in statistics, math, computer science, economics, data science, or related field required., • Three (3) years’ experience in data science or data analytics required., • Previous experience working with healthcare data (e.g., metrics and analytics), preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $85,000.00 – $100,000. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description In the HIM Validator (Coder) role, you will utilize your knowledge and expertise of the review program and coding guidelines to ensure that the assignment of coding/DRG is appropriate and consistent with ICD-10-CM Official Guidelines for Coding and Reporting and AHA Coding Clinic regulations. This position requires working on-site at the Jericho, NY office. QUALIFICATIONS: • Strong interpersonal skills with the ability to relate effectively to physicians, senior medical, nursing and administrative personnel., • Excellent communication skills (both written and verbal)., • Technical knowledge of coding and DRG validation., • Ability to work independently with minimal supervision. EDUCATION & EXPERIENCE: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required., • Bachelor’s degree in healthcare administration or health information management preferred., • One (1) year of hospital experience in the abstracting and coding of inpatient medical records required., • ICD-10 certification, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $75,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description Claims Specialist As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions, tracking deliverables and deadlines, and develop project frameworks to support interdisciplinary and interagency communications. Duties include by are not limited to: • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Monitor and measure key performance indicators., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments. This is an in office position based in IPRO's headquarter office located in Jericho, NY QUALIFICATIONS: • Knowledge and experience with collaborative project management software, electronic documents, and design., • Ability to problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills including phone manner., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative while multi-tasking., • Ability to meet deadlines in time sensitive environment. EDUCATION & EXPERIENCE: • Bachelors or advanced degree in healthcare, business, management digital studies or related field AND 2 years of collaborative project support, required., • OR-, • Associates degree in related field AND 3 years of collaborative project support, required. The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range for this position is $66,300.00 to $70,000.00 . Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.

Job Description JOB DESCRIPTION This leader will direct the management of state, federal and private Independent Review Organization (IRO) operations within the Federal & State Healthcare Assessment Division (FSHCA), consistent with IPRO's Strategic Plan and Corporate Goals. This individual will provide clinical &/or claims, managerial and industry expertise and assist the VP and Associate VP with business development for federal, state and private lines of business, including the introduction of new software solutions, products and services, staffing and proposal responses. This individual will provide leadership across both Corporate Programs Departments managing multiple client contracts, including primary NY, KY, PA state associated contracts, Veterans Affairs and Abu Dhabi contracts. • Provide hands-on program guidance and support to IRO Directors. This includes monitoring daily performance metrics, contract deliverables oversight, staff assignments and leadership coverage., • Manage program budgets and oversee staff development, training, and communication plans., • Provide subject matter expertise and adaptive leadership to ensure the completion of current, and the implementation of new project activities., • Support proposal writing and the creation of technical documents., • Coordinate with Directors to maintain department training records, ensure cross-training of all staff and compliance with URAC / ISO training and audit requirements., • Promote and maintain ISO/URAC standard and participate in/prepare reports for audits., • Advise the department on complaints/non-conformities in compliance with QA/QC policies and compliance with QMS Reporting., • Other activities, as may be deemed necessary. This position is office based at our Jericho, NY office QUALIFICATIONS: Demonstrated knowledge of IRO activities including provider, MCO and patient appeals processes. Knowledge and experience with collaborative project management software, electronic documents, and design. Must be a problem solver with strong communication skills Ability to work independently with little supervision. Must be a multi-tasker, flexible and innovative, and able to meet deadlines EDUCATION & EXPERIENCE: • Must be a Licensed Registered Nurse (in any state), • Must be a graduate of a school of Nursing program, • Bachelors of Science in Nursing required, • Master's strongly preferred, • 5 years of Supervisory/leadership experience required The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Job DescriptionJob DescriptionThe Medical Director is responsible for providing final clinical overview and signed authorization of medical appeal decisions. The physician will direct the oversight of the physician panel, provide input in decision on credentialing and specialty recruiting and work closely with multiple departments who manage appeals operations. Oversight will include: • Providing clinical input on decision complaints, • Consulting with individual physicians on decisions and concerns, • Reviewing each decision with care to ensure that the case has been reviewed by the appropriate specialty match, • Providing hands on program guidance and support to directors, including reporting metrics and contract deliverables, • Coordination to maintain compliance with URAC/ISO training requirements This position is remote and can be based anywhere in the U.S. - Role is 32 hours per week - Friday - Monday QUALIFICATIONS • Must hold a current, active, and unrestricted professional license in the U.S. in a recognized discipline, • Maintain licensure in good standing with no active sanctions or disciplinary restrictions, • Must be a strong problem solver that works collaboratively with peers and other staff, • Ability to work independently with minimal supervision and as part of a team., • Must be able to meet deadlines in a time sensitive environment including off hours coverage EDUCATION & EXPERIENCE • Medical Degree as DO or MD, • Board Certification in an identified specialty, • 5+ years of post licensure clinical experience in direct patient care The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description In the Data Analyst role, you will perform complex analyses using technical knowledge as well as interpret and provide written summaries of analysis output. ESSENTIAL JOB FUNCTIONS: • Translate data analysis requests into solutions, • Helps business users create optimal business requirements by exploring data and analytic alternatives and guiding users to the most cost-effective and efficient approach to meeting their needs., • Designs analytics (reports, dashboards, models) to respond to customer requests., • Ensures accuracy, data integrity, and face validity of all work., • Writes reports with charts and graphs; presents to internal and client leadership; and summarizes findings and recommendations., • Ensures all analyses use high-quality data., • Demonstrates the ability to multitask and manage many simultaneous projects and last-minute emergencies, • Supports continuous quality improvement. Contributes regularly to improving data and analytics sophistication and efficiency within the department and across the IPRO enterprise., • Creates documentation (such as code detail, report specifications, narrative backup, and metadata) for all outputs., • Produces all agreed upon deliverables on or ahead of schedule., • Troubleshoot any data or performance issues with workbooks and data sources QUALIFICATIONS: • Possesses a deep understanding of relational databases and their use characteristics., • Ability to solve business problems and opportunities through the design and development of efficient, high-quality and customer-centric analytic solutions., • Ability to distill technical content and issues into audience-specific and layperson-friendly terms., • Ability to work independently and as a member of a team., • Possesses stellar communications skills, both written and oral; able to produce effective written summaries outlining the results of analyses., • Intermediate proficiency with the following toolsets: MS Excel, MS PowerPoint, MS Word., • Proficiency with Matillion, Tableau, MS Access strongly preferred., • Proficiency with statistics and statistical models strongly preferred., • Experience with building predictive models strongly preferred. EDUCATION & EXPERIENCE: • Bachelor’s degree and one year of related experience OR, • Master’s degree in a related field. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $75,000.00. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description This position functions as both a Quality Improvement Assistant Director and the designated nephrology clinical lead for Quality of Care (CQoC) activities. The Assistant Director (Quality Improvement) provides clinical leadership to the QI Program Project Leads in the development and implementation of quality improvement programs to reach goals established by Centers for Medicare and Medicaid Services (CMS) for dialysis and transplant centers. The Assistant Director (QI) works in collaboration with Medical Review Board members and other stakeholders across the program to define goals and oversee the design, implementation, metric development and monitoring, rapid cycle improvement, and evaluation of progress throughout the project period. The candidate should have strong verbal and written communication skills, be able to interpret and utilize data to drive forward quality improvement goals and be proficient in use of tools in the Microsoft Suite (Excel and PowerPoint) to support communications, public presentation, data submission, and compliance tracking and trends. The Assistant Director – Nephrology Quality Improvement Nurse will develop and implement quality improvement project plans based on their business line responsibilities while providing clinical oversight to other program QI project planning. Duties will include, but are not limited to: • Leads designated quality improvement initiatives under the direction of the Medical Review Board to meet the CMS Key Results and Objectives (including but not limited to, project design, implementation, metric development and monitoring, rapid cycle improvement, and evaluation of progress throughout project period)., • Completes and attends all CMS Monthly status reporting for the program providing clinical insight during related topic discussions and presenting on your business line project plans., • Builds and presents at each Network’s Board meetings providing clinical insight during related topic discussion., • Provides direct supervision and mentorship to assigned staff, including performance management, workload prioritization, and professional development., • Serves as the clinical lead for all CQoC cases across assigned Networks. Provides expert clinical review, interpretation, and guidance on CQoC case findings., • Tracks and monitors CIQIP and CMS quality indicators and project progress across all clinical QI’s monitoring for trends and suggesting interventions where trends suggest failure to reach the program goals., • Participates in the development of each Network’s evaluation documents and participates in Network evaluation sessions focused on your project plans for quality improvement., • Educates the ESRD community on Network goals and quality of care objectives., • Contributes to the distribution and dissemination of research findings, assessment reports, data, and quality management procedures., • Develops and implements quality improvement, education, and training programs including organizing workshops, conferences, and seminars on quality management or ESRD related topics., • Provides results of Network activities to CMS through monthly and ad hoc communications with key stakeholders., • Maintains relationships with the CMS, other ESRD related organizations, Forum of ESRD Networks and consumer / patient groups., • Maintains current, updated clinical information on all ESRD issues through materials in journals, computer generated renal list servers, and by attendance ESRD educational programs., • Performs additional responsibilities and leads special projects as assigned to support evolving program and contract needs. QUALIFICATIONS • Strong communication skills (written and verbal) with the ability to develop clear and concise reports and effectively communicate with, and be understood by, persons contacting the Network via telephone, • Strong interpersonal and advocacy skills with the ability to deal professionally and successfully with a diverse population, • Strong leadership skills, • Strong problem solving and organizational skills with the ability to prioritize assignments, maintain detailed records, and meet deadlines, • Must be proficient in Microsoft Suite and have experience working with Excel and PowerPoint; knowledge of data analysis and trends helpful., • Knowledge of state/federal agencies, community resources, and nephrology, • An understanding of continuous quality improvement concepts and tools, • Ability to abstract, compile, and interpret large data sets, • Ability to travel as required. EDUCATION & EXPERIENCE: • Active RN state licensure, required., • A bachelor’s degree in related discipline required. A master’s degree in a related discipline, preferred., • Three (3) years’ experience in Nephrology required; experience with all modes of treatment available to renal patients preferred., • Demonstrated experience in quality improvement. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $90,000.00 – $100,000.00. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description 2026 Summer Internship Program IPRO’s 2026 Summer Internship Program is an eight-week experience for college students to gain invaluable hands-on work experience in a dynamic environment that is aligned with their academic interests. We are looking for individuals interested in gaining exposure, practical experience and insight into a multifaceted nonprofit healthcare organization. This exciting internship opportunity will take place onsite from June 1, 2026 - July 24, 2026 . WHO WE ARE IPRO is a non-profit organization that works with government agencies, providers, and patients to implement innovative programs that bring policy ideas to life. IPRO makes creative use of clinical expertise, emerging technology, and data solutions to make the healthcare system work better. IPRO holds contracts with federal, state, and local government agencies, as well as private-sector clients, in more than 33 states and the District of Columbia. In the Intern role, you will be assisgned to the Federal State Healthcare Assessment department to examine and formulate current and future State process maps, identify areas for improvement and create future State process maps and use Python to help automate key processes under the direction of the Associate Vice President. This position is office based at our Jericho, NY office. Required Criteria: The intern must be a current undergraduate or graduate student in a data and analytics related major. The hourly pay for hires for our 2026 internship opening is $17.00. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Duties include but are not limited to: Performing case reviews utilizing regulatory guidelines criteria and clinical knowledge for medical necessity and quality of care issues; formulate a case summary and the review questions for the Physician Reviewer based upon the External Agency's concern(s), r

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Claims Specialist/h2pAs the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects.

Director of Program Management, this individual will be responsible for collaborating with business SMEs to identify business challenges, develop and deploy new business processes, enhance existing processes and/or sunset processes that no longer support the business need, translating business requi

Forward and track monitoring forms and information sent to hospitals for IPRO staff to utilize. IPRO is an Equal Opportunity Employer.

Job Description As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. You will conduct clinical level review, determine physician level assignment, manage case staging between external physician experts and manage appeal processes within strict deadlines. Duties include but are not limited to: • Conducting reviews up to and including the appeal level. This includes chart screening, writing case summaries, determining documentation adequacy, researching insurer requirements, complete decision templates and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations., • Training and mentoring new RNs as the project expands., • Understanding multi-state requirements., • Participate in collaborative training. This position is based in IPRO's Headquarter office located in Jericho, NY. QUALIFICATIONS: • Knowledge and experience with electronic medical records., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Ability to meet deadlines in a time sensitive environment. EDUCATION & EXPERINCE: • New York Licensed Registered Nurse, required., • A bachelor’s degree in nursing OR graduate of an approved Registered Professional Nurses training program, required., • Minimum of two (2) years’ experience in a clinical setting, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $38.461 – $43.269. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description In the Clinical Reviewer RN (Proofer) role, you will review all NYS Dispute Resolution and External Review determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation and state required conventions. The Clinical Reviewer RN (Proofer) will utilize their clinical knowledge and editorial skills to produce a final, clean copy for each case determination. This individual will track errors and retrain clinical and administrative staff to mitigate production errors. This position is based in IPRO's Headquarter office located in Jericho, NY. QUALIFICATIONS: • Evidence of medical proofing, editing skills including professional writing and/or publishing., • Knowledge and experience with electronic medical records including coding, quality, and clinical charting., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent communication and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Post graduate studies demonstrating proficiency in writing, editing and proofing skills EDUCATION & EXPERIENCE: • Licensed as a Registered Professional Nurse in New York State., • Bacholer's degree in Nursing OR graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York, required., • Two (2) year’s experience in an acute care facility required, preferably in medicine/surgery or special care units; AND/OR one to three year’s experience in acute care utilization review, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $36.0577 – $43.2692. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status, or any other category protected under applicable law.