VP, RCM

Job Description :

The Vice President, Revenue Cycle Management (RCM) will provide strategic oversight across the RCM functional team(s). The Vice President will develop and ensure organizational agility through an ever-changing and evolving environment focused on performance management which will include developing a strategy to create and support a variety of operational efficiency models in Project Management, Vendor Partnerships, Compliance, and Quality Assurance as well as ensuring all contracted deliverables, client Service Level Agreements (SLAs), and business metrics are met.

• Develop and maintain effective relationships with offshore vendor leaders and other internal leaders to ensure Service Level Agreements (SLAs) and business metrics are being met.
• Lead strategic and operational initiatives to drive accountability based on data driven analysis and market intelligence.
• Oversee offshore partners / vendors and stateside resources to ensure their accountability for contracted deliverables.
• Direct and coordinate a wide variety of program activities and oversee all phases and implementation of programs and initiatives; plan and develop methods, policies, and procedures for assigned programs.
• Develop, prioritize, implement, and execute a wide variety of business processes to support continuous improvement initiatives and support RCM's core operations.
• Review reports and records of activities to ensure progress is being accomplished toward specified program objectives; modify or change methodology as needed to redirect activities and attain objectives.
• Identify continuous improvement opportunities and collaborate with functional leaders and cross-functional teams to implement solutions.
• Supervise management team to ensure each functional area operates in compliance with all applicable laws, regulator considerations, policies, and procedures which govern proper medical conduct, medical billing, and healthcare. Handle escalations as needed or when / if violations in compliance are identified.
• Manage technical and operational training program deliverables for assigned staff within the functional area.
• Ensure onboarding and ongoing training programs meet the needs of the employees and drives effective and efficient results in the division.
• Partner with company-wide Staff Development team to define where handoff of services takes place to ensure seamless integration.
• Manage SLAs, performance, and quality of service for outsourced partners through developed criteria, applied metrics, and reporting.
• Oversee the development and analysis of statistical data, metrics, and specifications to determine present standards and establish proposed quality and reliability expectancy.
• Partner with the organization's Senior Management team and peers to effectively drive efficient and cost-effective services levels.
• Partner with other functional and operational leaders to champion and drive continuous improvement, compliance, and training initiatives.
• Perform other duties that support the overall objective of the position.

Education Required :

Experience Required :

Knowledge, Skills & Abilities :

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and / or assign tasks for the employee to perform, as the company may deem appropriate.

NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.