JobotNewDirector of Revenue JobotDirector of RevenueSan Antonio, TX$115,000–$130,000 / yearGrowing physician-led, multi-site medical group based in North Texas providing primary and specialty care across a large network of practices with a focus on delivering high-quality, patient-centered healthcare to the communities they serve. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
CHRISTUS HealthNewManager Clinical Operations - Pediatric Women Infant and Child CHRISTUS HealthManager Clinical Operations - Pediatric Women Infant and ChildSan Antonio, TXThe position is responsible for, but not limited to, managing subordinate personnel, preparing clinic(s) budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications. Helps fiscal management and other administrative staff in implementing cost effective policies and procedures for all operational areas including bookkeeping, billing, insurance, fee schedules, credit/collections, purchasing, data processing and space planning.
USAANewSr. Injury Adjuster USAASr. Injury AdjusterSan Antonio, TX$63,590–$121,530 / yearInjury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
Vaco LLCNewBusiness Analyst Vaco LLCBusiness AnalystSan Antonio, TX$45–$55Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
University HealthPhysician University HealthPhysicianBOERNE, TXUniversity Health is seeking a compassionate and skilled Physician to provide high-quality medical care to individuals housed in the Bexar County Adult Detention Center. Collaborate with nursing staff, mid-level providers, and correctional officers to deliver safe and effective patient care.
CHCP Healthcare and Educational Services LLCNewMedical Coding and Billing Instructor CHCP Healthcare and Educational Services LLCMedical Coding and Billing InstructorSan Antonio, TXThe instructor will utilize their expertise to prepare students for the evolving demands of the healthcare marketplace, ensuring they are equipped with the skills and knowledge required to excel in medical coding and billing roles. CHCP (The College of Health Care Professions) is a premier healthcare education institution offering comprehensive programs in allied health, nursing, and related fields.
CHRISTUS HealthNewMulti Modality Technologist - Imaging CAT Scan CHRISTUS HealthMulti Modality Technologist - Imaging CAT ScanSan Antonio, TXInteracts appropriately with patients and all care providers by coordinating and prioritizing procedures during the workday to maintain a high level of patient care and continuity. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless necessary in the performance of assigned job duties.
CHRISTUS HealthNewRadiology Technologist Clinic - Pulmonary CHRISTUS HealthRadiology Technologist Clinic - PulmonarySan Antonio, TXInteracts appropriately with patients and all care providers by coordinating and prioritizing procedures during the workday to maintain a high level of patient care and continuity. Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
CHRISTUS HealthNewMulti Modality Technologist - Radiology Diagnostic CHRISTUS HealthMulti Modality Technologist - Radiology DiagnosticSan Antonio, TXOverlooking the Quarry Golf Course, the 36-bed short stay surgical hospital provides state-of-the-art technology including electronic medical records complemented by highly specialized services, physicians, and clinical care teams. CHRISTUS Santa Rosa is proud to bring more than 145 years of Catholic, faith-based, health care excellence to Alamo Heights, an area known for its rich history and quality.
SCI Acquistion Co IncMedical Billing and Coding Instructor - Adjunct Evenings SCI Acquistion Co IncMedical Billing and Coding Instructor - Adjunct EveningsSan Antonio, TXPart timePractice excellence in teaching and instruction; Modifies instructional methods and strategies to meet diverse students’ needs; Prepare lesson plans and teach course as prescribed by the approved institutional curriculum; Encourages the development of communication skills and higher order thinking skills through appropriate assignments. You’ll have a hand in improving the lives of countless SCI students throughout Texas by working with impassioned educators and campus faculty in a collaborative, interactive environment to create optimized environment for our students.
SCI Acquistion Co IncMedical Billing and Coding - Adjunct Instructor SCI Acquistion Co IncMedical Billing and Coding - Adjunct InstructorSan Antonio, TXPart timePractice excellence in teaching and instruction; Modifies instructional methods and strategies to meet diverse students’ needs; Prepare lesson plans and teach course as prescribed by the approved institutional curriculum; Encourages the development of communication skills and higher order thinking skills through appropriate assignments. You’ll have a hand in improving the lives of countless SCI students throughout Texas by working with impassioned educators and campus faculty in a collaborative, interactive environment to create optimized environment for our students.
Sports Medicine Associates of San AntonioBilling and Coding (Surgical) Sports Medicine Associates of San AntonioBilling and Coding (Surgical)San Antonio, TXCompletes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist. Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors.
Alamo Colleges DistrictCE Instructor (Medical Billing & Coding CPC) DIS - req13550 Alamo Colleges DistrictCE Instructor (Medical Billing & Coding CPC) DIS - req13550San Antonio, TXContinuing Education Instructors are hired in a part-time capacity contingent upon the needs of the department. Classes are offered at various times and locations during the academic year.
Seneca HoldingsRCMI Senior Solution Technical Expert (SSTE), Revenue Integrity Coding & Billing Seneca HoldingsRCMI Senior Solution Technical Expert (SSTE), Revenue Integrity Coding & BillingSan Antonio, TXThis role supports development, implementation, and sustainment of enterprise Revenue Integrity initiatives within MHS GENESIS and associated DHA data platforms to ensure compliant, accurate, and timely revenue capture across multiple Military Treatment Facilities and service lines. Perform advanced review and validation of ICD 10 CM, ICD 10 PCS, CPT, and HCPCS coding to ensure alignment with clinical documentation, medical necessity, official coding guidelines, TRICARE policy, NCCI edits, LCD and NCD requirements, and DHA billing guidance.
Peyton Resource GroupMedical Billing and collections specialist Peyton Resource GroupMedical Billing and collections specialistSan Antonio, TXUnder the supervision of the Business Office Director and Supervisor, this role ensures timely claim submission, reimbursement accuracy, payer compliance, and exceptional customer service while maintaining patient confidentiality and adhering to HIPAA regulations. The Billing & Collections Specialist is responsible for supporting the financial success of the facility through accurate billing, efficient collections, and effective revenue cycle management.
Dane Street, LLCFreelance Medical & Billing Coder Dane Street, LLCFreelance Medical & Billing CoderSan Antonio, TXYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Texas Spine Care CenterMedical Billing Accounts Receivable Specialist Texas Spine Care CenterMedical Billing Accounts Receivable SpecialistSan Antonio, TXThis role focuses on ensuring accurate reimbursement by managing outstanding claims, resolving denials, working insurance aging reports, and maintaining healthy revenue cycle performance. Maintain up-to-date knowledge of orthopedic-specific coding, payer policies, and industry regulations (HIPAA, CMS, Workers’ Compensation guidelines).
Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerSan Antonio, TXRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Yellowstone LocalNewBilling and Collections Specialist Yellowstone LocalBilling and Collections SpecialistSan Antonio, TX$55,000–$70,000 / yearIf you're the kind of person who thrives on accuracy, stays organized under pressure, and knows how to keep accounts moving without sacrificing customer relationships, this is the role for you. Proficiency with accounting software such as ServiceTitan, Sage, Spectrum, QuickBooks, or similar ERP systems .
Home Nursing & Therapy ServicesNewBilling Specialist Home Nursing & Therapy ServicesBilling SpecialistSan Antonio, Texas$20–$30Home Nursing & Therapy Services (HNTS) is here to address every aspect of our patients needs with compassionate care and reliable service 24/7.A major benefit of Home Nursing & Therapy (HNTS) is that our patients are able to receive personalize healthcare while still being in the privacy and comfort of their homes. Since 1982, we have been providing the highest quality home health services to individuals living in San Antonio, Texas and the surrounding areas.
HCA HealthcareBilling Integrity Analyst RN HCA HealthcareBilling Integrity Analyst RNSan Antonio, TXPerforms assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
UT Health San Antonio School of DentistryRevenue Cycle Specialist (Hospital Billing, On-Site) UT Health San Antonio School of DentistryRevenue Cycle Specialist (Hospital Billing, On-Site)San Antonio, TXAddress denied claims, claims pended for medical necessity, and claims pending supporting documentation by collaborating with clinic, registration, medical records, and coding teams to complete appeals. The Revenue Cycle Specialist II is responsible for managing the billing process, including handling denials, insurance follow-ups, and appeals based on their tier level in a hospital setting.
Allied UniversalBilling/Invoicing Specialist Allied UniversalBilling/Invoicing SpecialistSan Antonio, TexasTrack and process invoices for all Allied Universal services, reconcile final bills, and work orders as well as track all in My Facility as needed for accuracy and payment; ensure the portfolio completes weekly invoice submittal for all client requested services and ensure the correct client identified work order is charged. Proficient in web-based applications, computer systems and programs (Microsoft Word, Excel, and PowerPoint), to effectively edit and create reports, database entries, and presentation materials.
Quality Urgent CareMedical Biller Quality Urgent CareMedical BillerSan Antonio, TXLooking for full time experienced Medical Biller proficient in medical billing services including but not limited to appeals, disputing, charge entry and AR workflow. Knowledgeable in Medicare and Medicaid claims filing and appeals process.
HealthLink (Fitness Center)Medical Biller Collector Full Time Days HealthLink HealthLink (Fitness Center)Medical Biller Collector Full Time Days HealthLinkSan Antonio, TXAssists with submission of appropriate documentation to insurances to facilitate claim processing including functions such as pulling of documents, faxing, scanning and mailing, communicating with health insurance providers and assisting with other processes in the billing cycle. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
SA Family DentistDental Front Office Receptionist SA Family DentistDental Front Office ReceptionistSan Antonio, Texas$16–$20Duties:Greet patients warmly, verify their appointment details, and facilitate smooth check-in and check-out processes using dental practice management software OPEN DENTAL. Join our dynamic dental practice as a Dental Front Office Assistant, where you'll be the welcoming face and efficient coordinator that keeps our clinic running smoothly.
Sunshine Cottage School for Deaf ChildrenAudio Evaluation Coordinator Sunshine Cottage School for Deaf ChildrenAudio Evaluation CoordinatorSan Antonio, TexasThe following comprehensive educational programs and support services are available for children who are deaf or hard of hearing:Newborn Hearing Evaluation Center: Diagnostic hearing evaluations from birth through 6 months oldParent-Infant Program: Birth to three years of ageEarly Childhood and Elementary Programs: Three years old through fifth gradeAudiology: Identification, fitting and management of hearing technologySpeech-Language Therapy: Comprehensive therapy provided for students. Responsibilities include customer service, family scheduling, coordination of services, billing, coding, insurance eligibility, filing and claim management, medical records management, credentialing maintenance and set up, accounting, and reporting responsibilities for Audiological services provided to students and Audiological Clinical Services (outside referrals and Newborn Hearing Evaluation Center: NHEC), and assist with Audiology technology management.
Peyton Resource GroupSr. Patient Finacial Rep Peyton Resource GroupSr. Patient Finacial RepSan Antonio, TXThe ideal candidate will have a strong background in hospital billing, insurance claims, collections, denials management, and healthcare revenue cycle operations. This individual will work closely with internal departments, payors, and patients to ensure timely and accurate account resolution while maintaining compliance with healthcare and payer regulations.
PCC MedNewOffice Manager PCC MedOffice ManagerSan Antonio, TXOffice Managers oversee the completion of various administrative tasks with the practice concentrating on staff supervision, training, evaluating staff performance, scheduling staff for workflow, hiring/maintaining administrative team, maintain office budget, backing up all administrative positions in the office, coordination of all staff activity as well as the maximization of patient flow, productivity, and teamwork. Specializing in family medicine and the Medicare population, we have grown to more than 50 clinics, 90 providers, and 500 employees spanning Florida, Georgia, South Carolina and Texas.
JobotInsurance AR Specialist JobotInsurance AR SpecialistSan Antonio, TX$19–$21ContractorInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Responsibilities include following up on claim denials across all assigned payers, resolving billing issues, and handling inquiries from patients and clinic staff.
Seneca HoldingsRCMI Senior Solution Technical Expert (SSTE), Data Analyst Seneca HoldingsRCMI Senior Solution Technical Expert (SSTE), Data AnalystSan Antonio, TXThe Revenue Cycle Modernization & Innovations Senior Solution Technical Expert, Data Analyst supports the Military Health System client by delivering advanced analytics, statistical modeling, backend application support, and enterprise reporting across MHS GENESIS and DHA data platforms. Develop, optimize, and maintain advanced SQL and Vertica SQL queries, views, and reusable datasets supporting revenue cycle analytics including billing, collections, DNFB, denials, accounts receivable, write offs, and cash collections.
HealthTexas Medical GroupPatient Care Representative - WESTOVER HILLS HealthTexas Medical GroupPatient Care Representative - WESTOVER HILLSSan Antonio, TXAssists patients with referral/authorization requests by printing referrals, providing referral contact and location information, obtain commercial authorizations and checking on status of authorizations. Clinic hours vary at each location; Associates rotate 8-hour shifts as assigned to meet its business needs and/or the needs of its patients.
Christus HealthPatient Financial Representative Senior - Financial Services Christus HealthPatient Financial Representative Senior - Financial Servicessan antonio, TXProvide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
Sigma Systems, Inc.NewPatient Account Specialist Sigma Systems, Inc.Patient Account SpecialistSan Antonio, TexasWe're seeking experienced Revenue Cycle and Patient Account Specialists to help resolve complex healthcare claims and drive account resolution for a leading healthcare organization. If you have experience resolving healthcare claims, reducing aged AR, managing denials, or working hospital collections, we'd love to speak with you.
HCA HealthcareCFO HCA HealthcareCFOSan Antonio, TXAs a key member of the executive leadership team, the CFO leads enterprise financial planning and analysis, accounting and reporting, tax return coordination, revenue cycle and payer strategy, capital planning and treasury, enterprise risk management, and financial systems/data. South Texas Radiology Imaging Centers (STRIC) is one of the largest outpatient diagnostic imaging providers in San Antonio, with twenty-two locations across San Antonio, Boerne, and Schertz, Texas.
CHRISTUS HealthPatient Financial Specialist Senior - Patient Financial Services CHRISTUS HealthPatient Financial Specialist Senior - Patient Financial ServicesSan Antonio, TXProvides strategic business analysis updates and information to PFS Leaders and System Director regarding operational opportunities that affect reimbursement resulting in payment delays and/or loss of revenue. Must have good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advance skills with the various applications.
Synergy Healthcare AssociatesBiller Synergy Healthcare AssociatesBillerSan Antonio, TXPart timeReviews and monitors select accounts within the accounts receivable system, determines and performs appropriate collection actions to resolve account. The Biller's key responsibilities includes, but is not limited to the following: Keys charge information into entry program and produces billing.
CHRISTUS HealthNewCoordinator Referrals - Pediatric MFM Clinic CHRISTUS HealthCoordinator Referrals - Pediatric MFM ClinicSan Antonio, TXThis position is responsible for coordinating the entire referral process (obtaining order from physician, obtaining insurance authorization from the insurance company/payor, scheduling the appointment for the patient with a physician who accept the particular insurance, notifying the patient of the appointment, completing renewal authorizations with physicians office and payor) for a 35 physician practice. Accurately enter referral information into the computer system with a thorough understanding of the correct system codes (type, status, procedure etc) as well as, CPT codes and ICD-9 codes that will support the referral.
Peyton Resource GroupDirector of Revenue Reimbursement Peyton Resource GroupDirector of Revenue ReimbursementSan Antonio, TXThis leadership role will drive process improvements, support automation initiatives, and ensure compliance with healthcare billing regulations while collaborating with cross-functional teams to improve workflows and operational outcomes. The Director of Revenue Cycle is responsible for overseeing and optimizing all revenue cycle operations with a focus on improving billing efficiency, claim accuracy, denial prevention, and overall financial performance.
Sigma IncNewPatient Financial Representative Senior- onsite Sigma IncPatient Financial Representative Senior- onsiteSan Antonio, TXSigma Inc. is seeking an experienced Patient Financial Representative Senior to join the revenue cycle team of a large hospital system in San Antonio, TX. Work inpatient and outpatient claims using UB-04 and CMS-1500 (HCFA 1500) forms.
WoundlocalSenior Software Engineer (RCM Platform) WoundlocalSenior Software Engineer (RCM Platform)Boerne, TX$140,000–$190,000The Senior Software Engineer will work closely with the Engineering Manager, Product Manager, and cross-functional stakeholders to design, build, and maintain backend services and integrations that support the organization’s healthcare technology initiatives. You will work on systems responsible for ingesting and processing claims, ERA data, encounter information, and reimbursement records while helping improve the accuracy and scalability of financial and operational workflows.
Urology San AntonioPre-Certification/Eligibility Specialist Urology San AntonioPre-Certification/Eligibility SpecialistSan Antonio, TXThis position is also responsible for coordinating with patients, insurance companies, hospitals, primary care physicians and/or any other medical representatives by performing the following duties. Maintainsconstant communication with billing department in the event of insurance error or changes to patient insurance in order to file or re-file claim.
PAM Health Specialty Hospital of San AntonioNewRN Administrator / Director of Operations -OBL & ASC | PAM Health Corporate PAM Health Specialty Hospital of San AntonioRN Administrator / Director of Operations -OBL & ASC | PAM Health CorporateSan Antonio, TexasResponsibilities include driving operational efficiency across staffing, supply chain, and clinical throughput; implementing performance metrics such as case times, room turnover, on-time starts, utilization, and case mix; improving EBITDA and operational leverage through disciplined cost management and growth execution; monitoring staff utilization across departments (overtime, clinical hours, and clerical hours worked); and ensuring correct procedures are followed for all financial transactions and that center deadlines are met. Responsibilities include evaluating management and staff performance and providing counseling or disciplinary action when necessary; assigning projects (including quality improvement initiatives) to management team members based on ability and capacity; maintaining harmonious working relationships with other PAM Health facilities, physicians and their office personnel, the Governing Board, and the Medical Director; and holding regular management and staff meetings to communicate facility information and priorities.
Family Care CenterPsychiatric Mental Health Nurse Practitioner Family Care CenterPsychiatric Mental Health Nurse PractitionerCibolo, TX$115,000–$140,000 / yearFull timePosition Overview: The Psychiatric Nurse Practitioner (PMHNP) provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice. Care coordination: Professional and timely communication/care coordination with client/families/involved agencies/ PCP/ and other specialty care providers to ensure timely and coordinated treatment planning and evaluation of patient progress.
Family Care CenterPhysician Assistant Family Care CenterPhysician AssistantCibolo, TX$115,000–$140,000 / yearFull timePosition Overview: The Physician Assistant (PA) provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice under the supervision of a licensed physician. COLLABORATIVE TEAM: Join forces with a diverse clinical team comprised of licensed therapists, psychiatrists, psychiatric NPs/PAs, psychologists, TMS specialists and support staff to provide comprehensive care.
Craig HomecareAdministrative Coordinator Craig HomecareAdministrative CoordinatorSan Antonio, TXWorking closely with the Administrator and/or Director of Nursing, this position ensures the accuracy and maintenance of administrative, medical, billing, payroll, and personnel records, while fostering a professional and efficient office environment. Pediatric Home Service is excited to be opening a new Prescribed Pediatric Extended Care (PPEC) center in San Antonio!
Synergy Healthcare AssociatesNewAccounting & Payroll Specialist Synergy Healthcare AssociatesAccounting & Payroll SpecialistSan Antonio, TXPart timeBalances checkbook, initiates bank transfers, reconciles daily deposits, P&L, cash flow and bank statements and provides detailed and accurate information to appropriate divisions upon request. Looks for opportunities to save money on monthly expenses and reports to COO and practice managers, with the exception of utilities, phones or computers.
Pediatric Home ServiceAdministrative Coordinator/CNA Pediatric Home ServiceAdministrative Coordinator/CNASan Antonio, TXWorking closely with the Administrator and/or Director of Nursing, this position ensures the accuracy and maintenance of administrative, medical, billing, payroll, and personnel records, while fostering a professional and efficient office environment. Pediatric Home Service is excited to be opening a new Prescribed Pediatric Extended Care (PPEC) center in San Antonio!
HCA HealthcareClinic Supervisor Licensed HCA HealthcareClinic Supervisor LicensedSan Antonio, TXWith a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.
Texas OncologyNewPatient Benefits Representative Texas OncologyPatient Benefits RepresentativeSan Antonio, TexasTexas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. TheUS Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.