What are the responsibilities and job description for the Director, Revenue Cycle Vendor Management position at Adventist Health?
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Leads a team whose responsibilities include management of revenue cycle vendor relationships within Adventist Health. Manages the vendor request for proposal (RFP) processes and facilitates ad hoc and recurring calls with revenue cycle services and/or solutions vendors. Coordinates with patient financial services and other departments (patient access/pre-services, HIM/coding, etc.) on maintenance or optimization of vendor operating guidelines and workflows. Manages vendor relationships and coordination with key vendor contacts. Evaluates vendor performance. Coordinates with IT on maintenance or optimization of technical workflows and triaging of ad hoc technical issues. Reviews and approves reimbursement for contractors as associated with contracted performance indicators. Completes quality audits for vendors where work set is applicable to the use of third-party quality reviews. Develops, optimizes and distributes performance reports for vendors not managed by a third-party vendor management firm. Reports on risks, barriers, accomplishments and progress to vendor management leadership and other departments on both a recurring and ad hoc basis. Facilitates or assists with the onboarding of new vendors, including coordination on workflow development and establishment of the IT infrastructure. Oversees vendor relationships. Manages various forums (both including and excluding BlueLyte) to maintain accountability in the core objective of driving and supporting vendor performance . Represents vendor management in designated leadership forums. Participates in revenue cycle management and technical meetings/forums to help drive vendor management operational and technical initiatives. Coordinates with other revenue cycle leaders and performance improvement on special projects or acquisition initiatives requiring evaluation of new or existing vendors. Coordinates with IT-business analytics on distribution of- and changes to- vendor report sets leveraging BlueLyte's ARCASIS reporting. Maintains system-wide accountability for adherence to vendor sourcing, evaluation, and on boarding efforts as outlined in the vendor management toolkit. Provides recommendations for ongoing updates to the vendor management toolkit and implements changes as appropriate. Manages centralized repository of system-wide vendors and related contract terms. Coordinates with revenue cycle leaders when contracts are set to expire or auto-renew to confirm continuation or replacement of vendor(s). Escalates vendor replacement or consolidation opportunities to revenue cycle leaders to facilitate decision and/or evaluation process.
Job Requirements:
Education and Work Experience:
- Bachelor's degree in business administration or a related health care field or equivalent combination of education/experience: Required
- Master's degree: Preferred
- Seven years' of working with revenue cycle vendors (i.e. insurance billing & collections, early out, bad debt, third-party liability, worker's compensation, Medicaid eligibility, etc.) and revenue cycle, ideally with focus in patient accounting and other back-end processes as well as reporting/analytics experience utilizing revenue cycle solutions: Preferred
- Three years' of experience with Cerner Millennium, including registration, patient financial clearance, HIM/coding, and patient accounting. Experience with Epic and/or Electronic Health Record Conversions and BlueLyte: Preferred
- Five years' leadership experience: Preferred
Essential Functions:
- Oversees and manages a team whose responsibilities include facilitating ad hoc and recurring calls with revenue cycle services and/or solutions vendors, including those led by a third-party vendor management firm. Assists with management of vendor relationships on behalf of Adventist Health and in coordination with key vendor contacts.
- Coordinates with IT on maintenance or optimization of technical workflows and triaging of ad hoc technical issues. Facilitates or assists with the onboarding of new vendors, including coordination on workflow development and establishment of the IT infrastructure.
- Evaluates vendor effectiveness and opportunities, making recommendations improve A/R performance to meet Adventist Health operational goals while in alignment with Adventist Health values. Manages centralized revenue cycle RFP processes.
- Manages centralized repository of system-wide vendors and related contract terms. Coordinates with revenue cycle leaders and other applicable stakeholders when contracts are set to expire or auto-renew to confirm continuation or replacement of vendor(s) . Escalates vendor replacement or consolidation opportunities to revenue cycle leaders to facilitate decision and/or evaluation process.
- Maintains system-wide accountability for adherence to vendor sourcing, evaluation, and on boarding efforts. Reviews and approves reimbursement for contractors as associated with contracted performance indicators.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
