Director Revenue Cycle

Description

Calling All Esteemed Leaders! Are you a revenue cycle leader who thrives in complex healthcare environments and excels at building partnerships, improving performance, and driving financial outcomes? Do you enjoy working across operations, finance, reimbursement, payer contracting, and shared services to advance organizational goals? If so, we invite you to explore this leadership opportunity with Providence.

The Role

The Director of Revenue Cycle Services, Regional Business Partner (RBP), works in collaboration with PSJH leadership and Revenue Cycle Regional Executive Partner to transform revenue cycle into a world-class operation for one of the largest and most innovative health companies in the United States.

This role drives change in a large, highly matrixed organization, leveraging data, analytics, and best-in-class technology to deliver revenue uplift. This leader is accountable for achieving revenue cycle performance goals and financial targets and driving enhanced revenue yield for an assigned region.

The RBP is responsible for building effective internal partnerships and promoting collaborative relationships with regional leadership and enterprise shared services, including finance, reimbursement, payer contracting, information technology, legal, and compliance. This leader continually evaluates end-to-end revenue cycle processes to maintain best practice standards and realize service and quality commitments, ensuring that key stakeholders are kept fully informed on performance and important factors influencing it. This leader maintains current knowledge of industry trends and regulatory requirements and has considerable expertise in payer contracts.

The position requires a hands-on, self-motivated individual who thrives in a fast-moving, dynamic environment within a challenging and evolving industry. This key leader champions a mission-driven culture that embodies PSJH's core values of compassion, dignity, justice, excellence, and integrity. This leader must inspire, mentor, and cultivate critical relationships with executives to drive operational outcomes in assigned region(s).

The RBP functions as the RC representative on local regional leadership committees and serves as the key point of contact for communication between acute ministries and RC. This position partners with Chief Financial Officers and other regional leaders at the hospital level and/or other lines of business such as physician billing, post-acute, and ambulatory care network to develop revenue cycle strategy that closely supports the aims of the ministry or market, working closely with senior leadership.

This role is accountable for achieving performance metrics and responsible for sharing timely and critical revenue cycle management information, trends, and opportunities between assigned ministries and RC leadership. This position is also responsible for providing revenue cycle support as requested by RC leadership to Community Connect, Affiliates, managed acute facilities, and physician and ambulatory enterprises. The RBP is responsible for maintaining an open relationship between RC and the reimbursement team, payer contracting, financial planning and analysis, and operational and administrative leadership of assigned ministries and for assuring that issues raised by ministries are addressed and resolution is fully communicated. In addition, this position provides local leadership and serves as a resource and facilitator in the standardization of RC policies and practices.

What You'll Do

Performance Reporting and Revenue Management

• Responsible for performance reporting with accountability for performance metrics, with an emphasis on revenue leakage. Telling the story and driving performance.
• Accountable for denials management and drives process improvements with Regions.
• Leads denials management committees.

Regional Partnership and Revenue Cycle Leadership

• These are trusted advisers and field leaders who ensure issues are identified and resolved, including crisis management and leading special projects, growth and expansion activity, and support of the RC governance process.
• RBPs are the connection point between regions, revenue cycle, and shared services to drive system-wide performance. They are also embedded in RC centers of excellence, payer contracting, reimbursement, and regional operations.
• The link between work done and revenue recognized.
• Drives accountability and feedback to improve collections initiatives, specifically payment variances for closed accounts from Epic expected reimbursement compared to actual reimbursement and a full month-end analytical report for each region.
• Earn the business through responsiveness and proactive interaction with all key stakeholders supported by cross-functional responsibility across regions, revenue cycle operations, and critical shared services.
• Informs and partners with the data and analytics team to build robust reporting so that CFOs have the information they need.
• Overarching responsibility to connect other modalities (Ambulatory, Physician Enterprises, HCC, etc.).

Regional Leadership and Ministry Support

• Represent Revenue Cycle on regional leadership committees to help ministries move to common standards and practices while providing input back to RC on ministry needs for variation and best practice.
• Establish relationships with Chief Financial Officers in assigned markets. Provide revenue cycle guidance during strategic initiative discussions.
• Point of contact for ministry issues and concerns related to RC. Work with RC leadership to resolve and assure the resolution is communicated timely to the ministry.
• Regularly update RC leadership on the issues and concerns expressed by ministries, including local ministry strategic plans that may impact RC.
• Participate in regional leadership meetings.
• Share current ministry issues or initiatives that are relevant to RC.

Growth, Expansion, and Industry Engagement

• Lead regional growth and expansion work in connection with revenue cycle centers of excellence.
• Support development and implementation of additional services or new ministries as requested.
• Engage with ministry or regional planning that would require approval through Growth and Expansion.
• Provide input related to revenue cycle topics or engage system resources for input in preparation of Growth and Expansion requests.
• Attend weekly Growth and Expansion meetings when relevant to ministry projects.
• Participate in professional activities and affiliations to maintain knowledge of trends and changes in the healthcare environment.

Mission, Service Excellence, and Compliance

• Actively supports and incorporates the mission and core values into daily activities.
• Treats all others with respect and demonstrates excellence, justice, and compassion in daily work and relationships with others.
• Maintain confidentiality of all information related to patients, medical staff, employees, and, as appropriate, other information.
• Demonstrate service excellence and positive interpersonal relations in dealing with others, including patients, families, members, employees, managers, medical staff, volunteers, vendors, and community members, so that positive relations are maximized.
• Consistently demonstrate and incorporate principles of safety and infection control into daily activities as outlined in Environment of Care, Infection Control, and Exposure Control manuals and department safety policies and procedures.
• Maintain knowledge of work-appropriate aspects of Environment of Care programs, comply with policies, and report unsafe conditions.
• Successfully complete Environment of Care HealthStream modules within required timeframes and participate in fire drills and emergency exercises.

Key Metrics

• Regional leadership satisfaction levels are met or exceeded, including but not limited to Net Promoter Score.
• Revenue Assurance and Revenue Cycle KPIs.
• Service level partnership agreements are met.

What You'll Bring

Education & Credentials

• Bachelor's Degree in Business Administration, Health Care Administration, or equivalent; or equivalent educ/experience.
• Master's Degree in Business Administration, Health Administration, or related area of study (preferred).
• Equivalent combinations of education and experience may be considered.

Experience & Expertise

• 8 years of overall experience.
• 6 years of progressively responsible experience in healthcare administration/operations with an emphasis on management, business, or account management in a leadership capacity.
• A track record in leadership, influencing others, and follow through on issues management.
• Track record in taking initiative, working with minimal supervision, and being self-directed and highly motivated in all work activities.
• Proven detailed understanding of revenue cycle concepts and issues.
• Demonstrated ability to review revenue cycle reports and communicate trends and opportunities for improvement.
• Demonstrated knowledge of HIPAA rules and regulations.

Professional & Leadership Capabilities

• Ability to uphold the mission of the Sisters of Providence with exceptional professional conduct.
• Demonstrated excellent verbal, written, and interpersonal communication skills.
• Proven skills in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast-paced environment.
• Proven strong analytical and problem-solving skills, including gathering, interpreting, and presenting complex data and identifying the most appropriate solutions to business problems.
• Proven ability to operate and adapt in a fast-paced, complex, and dynamic environment.
• Demonstrated skills in facilitation, negotiation, meeting management, training, and quality analysis.
• Evidence of the ability to develop, direct, motivate, and gain commitment of peers and management.
• Proven ability to work collaboratively and professionally in a team environment.
• Demonstrated ability to perform in alignment with company mission and values.
• Proven PC proficiency in MS Windows and Office applications including MS Project.
• Proven ability to work flexible hours and travel regularly for business.

Why Join Us?

• Revenue Cycle Transformation: Help transform revenue cycle operations through data, analytics, best-in-class technology, and operational excellence.
• Regional Leadership Impact: Serve as the key Revenue Cycle representative and strategic partner to regional leadership, ministries, and Chief Financial Officers.
• Enterprise-Wide Collaboration: Partner with finance, reimbursement, payer contracting, information technology, legal, compliance, and shared services teams across Providence.
• Performance-Driven Environment: Drive revenue cycle performance goals, financial targets, revenue yield, denials management, and service level commitments across an assigned region.

Ready to Shape the Future of Healthcare?

If you are a collaborative leader with expertise in revenue cycle operations, healthcare administration, performance improvement, and stakeholder engagement, we encourage you to apply and help advance revenue cycle excellence across Providence.

The full pay range is listed in accordance with applicable law. Final compensation will be determined based on qualifications, experience, organizational compensation alignment, and the approved hiring department budget for the position. This position may also be eligible for incentive compensation and benefits.

At Providence we believe in the importance of human connection and the impact of in-person collaboration towards team cohesion and caregiver engagement. Further, we want our leaders to live in or near the communities we serve. Therefore, leaders applying for this role will be required to work a hybrid schedule, which consists of three days onsite, two days remote and live within a reasonable commuting distance to the ministry or service area they support and lead.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requsition ID: 450998

Company: Providence Jobs

Job Category: Revenue Cycle Operations

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 4001 SS RC STRAT BUS PRTN

Address: WA Seattle 1730 Minor Ave

Work Location: Swedish Metropolitan Park East-Seattle

Workplace Type: Remote

Pay Range: $68.62 - $108.34

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.