Director Revenue Cycle

The Director of Revenue Cycle Services, Regional Business Partner (RBP), collaborates with PSJH leadership and the 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. The RBP is accountable for achieving revenue cycle performance goals, financial targets, and enhanced revenue yield for an assigned region.

Responsibilities

• Build effective internal partnerships and promote collaborative relationships with regional leadership and enterprise shared services, including finance, reimbursement, payer contracting, information technology, legal, and compliance.
• Evaluate end-to-end revenue cycle processes to maintain best practice standards and realize service and quality commitments.
• Keep key stakeholders fully informed on performance and important factors influencing it.
• Maintain current knowledge of industry trends and regulatory requirements, with expertise in payer contracts.
• Champion a mission-driven culture embodying PSJH's core values of compassion, dignity, justice, excellence, and integrity.
• Inspire, mentor, and cultivate critical relationships with executives to drive operational outcomes in assigned region(s).
• Serve as the revenue cycle representative on local regional leadership committees and as the key point of contact for communication between acute ministries and revenue cycle.
• Partner with Chief Financial Officers and other regional leaders to develop revenue cycle strategy supporting the aims of the ministry or market.
• Achieve performance metrics and share timely, critical revenue cycle management information, trends, and opportunities between assigned ministries and revenue cycle leadership.
• Provide revenue cycle support to Community Connect, Affiliates, managed acute facilities, and physician and ambulatory enterprises as requested.
• Maintain open relationships between revenue cycle and reimbursement, payer contracting, financial planning and analysis, and operational leadership of assigned ministries.
• Provide local leadership and serve as a resource in standardizing revenue cycle policies and practices.

Performance Reporting and Revenue Management

• Accountable for performance reporting and metrics, with an emphasis on revenue leakage.
• Drive denials management and process improvements with regions.
• Lead denials management committees.
• Drive accountability and feedback to improve collections initiatives, including payment variances and month-end analytical reports.

Regional Partnership and Revenue Cycle Leadership

• Act as trusted advisers and field leaders to identify and resolve issues, including crisis management and leading special projects.
• Serve as the connection point between regions, revenue cycle, and shared services to drive system-wide performance.
• Embed in revenue cycle centers of excellence, payer contracting, reimbursement, and regional operations.
• Drive accountability and proactive interaction with key stakeholders.
• Partner with the data and analytics team to build robust reporting for CFOs.
• 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.
• Establish relationships with Chief Financial Officers in assigned markets and provide revenue cycle guidance during strategic discussions.
• Serve as the point of contact for ministry issues and concerns related to revenue cycle.
• Work with revenue cycle leadership to resolve issues and communicate resolutions to ministries.
• Update revenue cycle leadership on ministry issues, concerns, and strategic plans impacting revenue cycle.
• Participate in regional leadership meetings and share relevant ministry issues or initiatives.

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.
• Engage with ministry or regional planning requiring approval through Growth and Expansion.
• Provide input on revenue cycle topics or engage system resources for Growth and Expansion requests.
• Attend weekly Growth and Expansion meetings relevant to ministry projects.
• Participate in professional activities and affiliations to maintain knowledge of healthcare trends and changes.

Mission, Service Excellence, and Compliance

• Actively support and incorporate the mission and core values into daily activities.
• Treat others with respect and demonstrate excellence, justice, and compassion in daily work.
• Maintain confidentiality of all sensitive information.
• Demonstrate service excellence and positive interpersonal relations with all stakeholders.
• Consistently incorporate principles of safety and infection control into daily activities.
• Maintain knowledge of Environment of Care programs, comply with policies, and report unsafe conditions.
• Complete Environment of Care HealthStream modules and participate in fire drills and emergency exercises.

Key Metrics

• Regional leadership satisfaction levels (e.g., Net Promoter Score).
• Revenue Assurance and Revenue Cycle KPIs.
• Service level partnership agreements.

Requirements

Education & Credentials

• Bachelor's Degree in Business Administration, Health Care Administration, or equivalent; or equivalent education/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.
• Track record in leadership, influencing others, and issue management.
• Proven initiative, self-direction, and motivation in work activities.
• Detailed understanding of revenue cycle concepts and issues.
• 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.
• Excellent verbal, written, and interpersonal communication skills.
• Strong organizational and planning skills with the ability to manage time and achieve results in a fast-paced environment.
• Strong analytical and problem-solving skills, including interpreting complex data.
• Ability to operate and adapt in a fast-paced, dynamic environment.
• Skills in facilitation, negotiation, meeting management, training, and quality analysis.
• Ability to develop, direct, motivate, and gain commitment from peers and management.
• Ability to work collaboratively and professionally in a team environment.
• Ability to perform in alignment with company mission and values.
• PC proficiency in MS Windows and Office applications, including MS Project.
• Ability to work flexible hours and travel regularly for business.

Benefits

• Opportunity to help transform revenue cycle operations through data, analytics, best-in-class technology, and operational excellence.
• Serve as a key revenue cycle representative and strategic partner to regional leadership, ministries, and Chief Financial Officers.
• Collaborate with finance, reimbursement, payer contracting, information technology, legal, compliance, and shared services teams across Providence.
• Drive revenue cycle performance goals, financial targets, revenue yield, denials management, and service level commitments.

Schedule

This role requires a hybrid schedule consisting of three days onsite and two days remote. Leaders must live within a reasonable commuting distance to the ministry or service area they support and lead.

About the Organization

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 role, we all share a commitment to these values and to improving the health of the communities we serve.