Director Revenue Cycle

Provides strategic direction in support of critical Revenue Cycle initiatives and goals. Leads and manages complex Revenue Cycle projects, working collaboratively with other leaders in KFH/HP, TPMG, Program Office and other regions. The incumbent develops and leads strategic initiatives and drives Revenue Cycle operational performance and key financial metrics. Provides the overall direction and oversight of functional area in support of departmental initiatives and goals.

• Provides the overall direction and oversight of functional area in support of departmental initiatives and goals. Leads the conceptual design and development of action plans that drive strategic initiatives. Actively monitors operational performance to anticipate and meet the needs of leadership. Drives for changes in work products and processes that will improve functional area efficiencies and effectiveness. Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work. Fosters strong results orientation within functional area by motivating staff and holding them accountable to meeting customer needs and organizational goals. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility and mentoring.


• Serves as an expert consultant to senior leadership on major and highly complex issues with strategic importance. Collaborates with TPMG, Health Plan, local and regional leadership, colleagues and subordinates to improve the level and quality of revenue cycle decisions that have financial, legal and regulatory implications to the organization.  Works in partnership with local and regional leaders of operating units to identify new ways to enhance financial products and services. Partners with organizational leaders to ensure that operations and processes remain consistent and emulate best practices.  Analyzes issues to develop recommendations related to resource requirements in order to achieve desired outcomes.


• Identifies opportunities for process improvement, and implements them by engaging stakeholders throughout the organization. Understands interrelationships among systems and process across functional areas to redesign process, improve efficiency, and ensure optimal results. Applies thorough understanding of key business processes to effectively anticipate and address the longer term implications of decisions/actions. Provides oversight regarding the development of business cases, in conjunction with other relevant SMEs, that facilitate local or regional revenue cycle strategies. Coordinates and implements revenue cycle initiatives, including identifying and assembling resources when necessary. Formulates and makes recommendations to leadership on policies and practices relating to revenue cycle improvements.


• Facilitates compliance with administrative/legal requirements and governmental regulations as they relate to revenue cycle operations. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.  Accountable for revenue cycle data quality monitoring and related training. Ensures all practices relating to the acquisition and maintenance of information comply with federal, state regulations, policies, and procedures.

Qualifications:

• Minimum of eight (8) years of progressive experience in a multi-facility health system.  


• Minimum of five (5) years of experience directing Revenue Cycle activities for a large hospital, medical group, and/or healthcare system.


• Minimum of five (5) years of relevant management experience.

• Bachelors degree, OR four years directly related experience.
• High School Diploma OR General Education Diploma (GED) required.

• N/A

• Proven ability to determine key business issues and facilitate/support the development of effective action plans from multi-disciplinary perspective.
• Excellent skills in complex analytic problem solving, strategic planning, program development, project management, change management and group process.
• Capability to lead and influence senior leadership around business issues.
• Demonstrated ability to manage multiple initiatives, identify and prioritize issues to meet aggressive timelines and organizational goals.
• Excellent written, oral and interpersonal (negotiation and listening) communication skills are required for interacting with all levels of health care professionals within the organization.
• Demonstrated experience managing through influence and collaboration with providers and executives, both inside and outside an organization.
• Advanced proficiency in all Microsoft computer applications (i.e. Excel, PowerPoint and Access) and other job-related networks and software.
• Ability to function effectively in a Labor/Management Partnership environment.
• Must be able to work in a Labor/Management Partnership environment.

• Masters Degree preferred.