Vice President - Revenue Operations Integration

Overview

Before applying for this role, please read the following information about this opportunity found below.

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members.

Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Vice President, Revenue Operations Integration directs complex initiatives across the Network Revenue Operations department including vendor management, system integrations, technical optimizations and enhancements, project management, compliance, and training and quality.

Will develop strategies for revenue cycle sustainability and performance improvement. Will oversee assessment and implementation of developed strategic initiatives such as implementation or migration of new technical systems within the revenue cycle including the development and validation of system workflows, revenue cycle performance or restructuring initiatives.

Monitors success of initiatives and reports out to executive leadership, while identifying and mitigating key risks. Develops and controls all activities necessary to accomplish project and department requirements, including building relationships with internal and external clients throughout HMH, especially finance and clinical leadership.

Ensures revenue integrity by monitoring contract variances and denials and engaging stakeholders on denial prevention strategies.

Ensures that HMH is maximizing revenue capture and cash collections by performing audits and account review and working with revenue cycle leadership on technical solutions to fill any process gaps.

Strategically manages the revenue cycle’s many vendor relationships to ensure quality and customer service standards are communicated and met.

Responsibilities

A day in the life of a Vice President, Revenue Operations Integration at Hackensack Meridian Health includes :

Works with HMH revenue cycle leadership and finance executives to develop strategies for revenue cycle support and / or optimization initiatives.

Establishes and monitors financial terms and service level expectations for HMH revenue cycle vendor relationships. Assists in vendor selection and provides feedback on contract terms to ensure services and expectations outlined in contracts are clear.

Develops project plans for identified and requested revenue cycle initiatives, including project teams, timelines, risks, and mitigation plans and engages stakeholders as appropriate through charter development, planning, implementation, and monitoring.

Coordinates with HMH Digital Technology Services (DTS) to determine any technology needs required to supply planned support.

Supports a metric-driven revenue cycle. Analyzes revenue cycle KPIs to identify areas of improvement. Leads root cause and action planning for performance improvement initiatives.

Monitor trends and communicate significant shifts in market or operating conditions to the Management Team.

Ensures the integrity of Revenue Operations through payment variance workflow design and management, denial prevention strategies, and audits that validate an appropriate charge capture and cash collection process.

Provides direction, strategy and leadership for mergers and acquisitions to ensure successful transition of acquired and integrated facilities to Network Revenue Operations services and systems.

Develops and applies revenue cycle assessment and transition plans to ensure seamless transition for acquired or integrated facilities’ revenue cycle functions.

Ensure structured and smooth implementations by working with key stakeholders and making sure all critical needs are met and risks are mitigated.

Provides support and advice on the technical and operational design of and impacts to revenue cycle workflows

Monitors and directs the day-to-day operations of enterprise revenue cycle compliance, quality, training, and Revenue Integrity.

Optimizes capabilities in Epic applications and all other related information systems, tools, technologies, and processes.

Oversees all system changes and development to ensure accurate and complete system functionality.

Prioritize projects with the management team. Work with the management team to develop a project plan for implementation of process improvement projects and new partnerships with vendors and external providers.

Monitors annual operating and capital budgets for the department, preventing and reporting variances where required.

Actively manages vendor partners through a team of analysts and auditors.

Advises operational and finance executives in addition to Epic DTS Team of system implications of operational decisions

Provide strategic vision and direction effectively manage industry shifts, regulatory changes, and rising cost pressures.

• Directs programs or compliance components of larger cross-functional programs by identifying and managing stakeholder contacts;
• assembling teams based on program needs and team member strengths; developing, analyzing, and managing program plans; negotiating and managing program schedules and resource forecasts;

and managing program financials and deliverables.

Analyzes and manages revenue and reimbursement variables that are very complex due to constantly changing rules and regulations imposed by managed care companies, third party payers, and governmental agencies.

Develops payer relationships to assist in resolution of complex payment and billing issues as they arise. Utilizes expertise and partnerships to hold owners accountable of impacted areas.

Provides support and advice on the design and practically of managed care billing arrangements, collection procedures, and compliance of managed care contracts.

Prioritizes, analyzes, and develops process improvement initiatives to reduce risk of revenue loss. Works in collaboration with billing functions and clinical departments to ensure appropriate revenue capture for the system.

Other duties and / or projects as assigned.

Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required :

Bachelor’s Degree in Accounting, Finance, Business or related field.

Seven (7) years of management experience.

Ten (10) years of experience in healthcare finance.

Excellent written and verbal communication skills.

Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred :

Master’s Degree

Experience performing assessments and integration projects in healthcare revenue cycles.

Record of success managing complex projects with multiple, diverse stakeholders.

Prior experience with Epic modules including Grand Central, Cadence, Prelude, Resolute Professional Billing and / or Resolute Hospital Billing.

Experience working in an organization of size and complexity comparable to Hackensack Meridian Health.

Licenses and Certifications Preferred :

Professional Certification issued by the Project Management Institute.

HFMA CHFP or similar certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

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