The Opportunity:

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director I, Pre-Access is responsible for leading a functional Pre-Access team across multiple markets. They are responsible for setting performance and effectiveness expectations in line with industry best practices and driving accountability through responsibility of team production and quality measures. The director will be responsible for establishing, monitoring, and meeting key performance indicators aligning to industry best practices for their functional area. The director also partners with non-centralized areas who perform their own pre-access functions to ensure education, training, and adherence to standardized processes. As a subject matter expert, this person must provide leadership and contributes to the overall revenue cycle goals and is responsible for meeting the mission and organizational goals of Ensemble Health Partners, as well as meeting regulatory compliance requirements. The Director, Pre-Access will work closely with other revenue cycle and facility leadership to understand upstream/downstream impacts of workflow and processes and takes the "big picture" approach to problem-solving and mitigating front-end denials. Occasional travel may be required.

Essential Job Functions

• Establishes department strategy, direction, and breakdown of department assignments by leader. Leads pre-access managers who lead their functions across the pre-access teams, focusing on standardization, consistency, and best practices.
• Partners with other revenue cycle and facility leaders within their scope to ensure upstream/downstream impacts of workflow, and to establish positive relationships while fostering open two-way communication. Serves as the pre-access service line contact to our internal business partners (IP/OP/Surg).
• Coaches and develops department managers and assists in use of reporting and analytics to find trends, develop action plans, and implement process improvement. Leads managers through denial reviews to find gaps in workflow and processes and implements strategy to mitigate.
• Audits accounts and reviews denials to ensure effectiveness of workflow processes in place and collaborates with upstream/downstream impacts to improve process based on findings.
• Ensures adherence to the departmental budget and prepares monthly reports as requested. Communicates departmental goals to the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization

Job Competencies

• Leadership & Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
• Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
• Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
• Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear).
• Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.

Experience:

• Bachelor's degree in Business or Healthcare Administration, or equivalent work experience
• 3 + years of leadership experience in a healthcare role
• 3+ years of revenue cycle operations or Pre-Access experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
• Work experience with Epic
• Experience building reporting and analytics to monitor performance and drive process improvement.
• Pre-access operations experience and/or call center experience a plus
• Experience with ownership of daily workflow management, developing leaders, creating processes, and setting department strategy
• Financial and project management experience
• Able to work in a fast-paced, deadline-driven environment

Certifications:

• CRCR certification required within first 9 months of hire (Ensemble supported)

**This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate.

**This position pays between $92,500 - $125,000 based on experience, and is eligible for annual incentives.