Director Medical Group Revenue Operations, Service Area 3 (REMOTE)
Employment Type:
Full timeShift:
Description:
Purpose
Accountable for leading, guiding, & directing revenue cycle standard work. Provides effective use of system resources to drive optimal revenue cycle outcomes and performance measures. Enables regional level strategy to address internal or external business & regulatory issues; provides functional expertise & ensures fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Maintains awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.
Essential Functions
Leadership
• Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
• Enable Collaboration across & within service area, RHM, & Regions to ensure consistency & integration of strategy & operations
Direction & Growth
• Providing advice, guidance, & leadership to service area, functional area, RHM, & Regions.
• Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice
• Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend
Strategic Support & Accountability
• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives
• Responsible for supporting regional efforts to comply with functional area priorities
• Accountable for the selection, evaluation, & overall success of the functional leadership teams
• Organization-wide focal point for establishing functional strategies & governance over financials & staffing
• Accountable for communication between service area, functional area, RHM, & Regions leader
Operational Delivery
• Responsible for measuring & reporting KPIs/metrics & value delivery
• Providing advice, guidance, & leadership for the colleague life cycle
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications
• Bachelors degree in business, healthcare administration or a related field, or equivalent combination of education and experience
• Seven (7) to ten (10) years of progressive experience in revenue cycle operations, revenue metrics & analytics & revenue management.
• Five (5) years of management experience in a multi-facility, integrated health care delivery system, or revenue cycle consulting experience.
Additional Qualifications (nice to have)
• Experience with revenue cycle & accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines, & work processing. Epic experience strongly preferred.
• Experience with medical group front office operations, ICD-10 & CPT coding & medical terminology, with federal, state, & payer-specific regulations relating
Physical & Mental Requirements & Working Conditions
Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate the provision of healthcare services.)
• Rare clinical / patient facing work environment.
• Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit conditions; may encounter occasional variable external environmental conditions.
• Includes occasional lifting, up to 30 pounds unassisted, frequent travel & use of computer; Includes continuous sitting & may require rare long periods of continued walking, standing, stooping, bending, pulling & pushing.
Direct Healthcare & Indirect / Support Healthcare Services: must be able to:
• Adapt to frequent interruptions, shifting priorities & stressful situations; Attend to tasks until complete, understand & relate to complex ideas & concepts & be able to remember multiple tasks & regimens extending over long periods of time & work on concurrent tasks / projects.
• Read small print, frequent ability to hear normal sounds & voice patterns, able to give / receive instructions & other verbal communications in-person & over the phone / computer / device / equipment assigned with some background noise.
• Perform frequent manual dexterity activities & occasional grasping/handling.
• Continuous attention to maintain a safe working environment & use of available personal protective equipment (PPE).
Comply with Trinity Health’s policies & procedures.
KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% - 100%)
• References OSHA 1910.502 https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.502
ADDENDUM: Functional Roles
Responsible for planning, directing, & managing support & day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle in assigned Service Area with annual net patient revenue greater than or equal to $500M.
Manages Medical Group Revenue Cycle Site Operations for the assigned Health Ministries.
Date Created/ Last Updated
April 5, 2024– OD&D
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions, & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards, & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state, & local law.
Full timeShift:
Description:
Purpose
Accountable for leading, guiding, & directing revenue cycle standard work. Provides effective use of system resources to drive optimal revenue cycle outcomes and performance measures. Enables regional level strategy to address internal or external business & regulatory issues; provides functional expertise & ensures fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Maintains awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.
Essential Functions
Leadership
• Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
• Enable Collaboration across & within service area, RHM, & Regions to ensure consistency & integration of strategy & operations
Direction & Growth
• Providing advice, guidance, & leadership to service area, functional area, RHM, & Regions.
• Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice
• Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend
Strategic Support & Accountability
• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives
• Responsible for supporting regional efforts to comply with functional area priorities
• Accountable for the selection, evaluation, & overall success of the functional leadership teams
• Organization-wide focal point for establishing functional strategies & governance over financials & staffing
• Accountable for communication between service area, functional area, RHM, & Regions leader
Operational Delivery
• Responsible for measuring & reporting KPIs/metrics & value delivery
• Providing advice, guidance, & leadership for the colleague life cycle
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications
• Bachelors degree in business, healthcare administration or a related field, or equivalent combination of education and experience
• Seven (7) to ten (10) years of progressive experience in revenue cycle operations, revenue metrics & analytics & revenue management.
• Five (5) years of management experience in a multi-facility, integrated health care delivery system, or revenue cycle consulting experience.
Additional Qualifications (nice to have)
• Experience with revenue cycle & accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines, & work processing. Epic experience strongly preferred.
• Experience with medical group front office operations, ICD-10 & CPT coding & medical terminology, with federal, state, & payer-specific regulations relating
Physical & Mental Requirements & Working Conditions
Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate the provision of healthcare services.)
• Rare clinical / patient facing work environment.
• Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit conditions; may encounter occasional variable external environmental conditions.
• Includes occasional lifting, up to 30 pounds unassisted, frequent travel & use of computer; Includes continuous sitting & may require rare long periods of continued walking, standing, stooping, bending, pulling & pushing.
Direct Healthcare & Indirect / Support Healthcare Services: must be able to:
• Adapt to frequent interruptions, shifting priorities & stressful situations; Attend to tasks until complete, understand & relate to complex ideas & concepts & be able to remember multiple tasks & regimens extending over long periods of time & work on concurrent tasks / projects.
• Read small print, frequent ability to hear normal sounds & voice patterns, able to give / receive instructions & other verbal communications in-person & over the phone / computer / device / equipment assigned with some background noise.
• Perform frequent manual dexterity activities & occasional grasping/handling.
• Continuous attention to maintain a safe working environment & use of available personal protective equipment (PPE).
Comply with Trinity Health’s policies & procedures.
KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% - 100%)
• References OSHA 1910.502 https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.502
ADDENDUM: Functional Roles
Responsible for planning, directing, & managing support & day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle in assigned Service Area with annual net patient revenue greater than or equal to $500M.
Manages Medical Group Revenue Cycle Site Operations for the assigned Health Ministries.
Date Created/ Last Updated
April 5, 2024– OD&D
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions, & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards, & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state, & local law.