Director Medical Group Revenue Operations, Service Area 3 (REMOTE)

Trinity Health

$120K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business, healthcare administration, or related field, or equivalent combination of education and experience.
  • 7-10 years of progressive experience in revenue cycle operations, metrics, and analytics.
  • 5 years management experience in a multi-facility healthcare system or revenue cycle consulting.
  • Experience with revenue cycle and accounting systems, insurance issues, and healthcare industry trends is advantageous.
  • Epic system experience strongly preferred.

Responsibilities

  • Lead and guide revenue cycle teams in developing strategies and achieving performance goals.
  • Optimize policy and process standardization across the organization.
  • Oversee vendor and contract labor management to maximize efficiency and spending.
  • Collaborate on system-wide strategy development and deployment of priorities.
  • Measure and report KPIs and metrics to assess value delivery.
  • Provide leadership for colleague life cycle management.
  • Ensure compliance with laws and regulations affecting the organization.

Benefits

  • Health, dental, and vision insurance options.
  • Retirement savings plan with employer match.
  • Career growth and development opportunities.
  • Work-life balance and flexible scheduling options.
  • Generous paid time off and holiday pay.
Full Job Description
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.

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