ED, MAS/GA Market Revenue Cycle Management

1 month ago

Atlanta GA, United States Kaiser Permanente Full time

DescriptionCandidates must reside in a Kaiser approved State (Currently- CA, WA, OR, CO, HI, GA, VA)Travel: 25% - 30%Job Summary:Performance - Enhances revenue and expense forecasting and capital and operating budgeting, ensuring efforts support, and are integrated into Market strategies. Actively participates with Shared Services and Market Revenue Cycle leads in monitoring, reviewing, and evaluating reserve levels and the impact of current accounting practices on revenue recognition. Quantifies revenue optimization opportunities for the Markets and oversees planning and prioritization of business initiatives to achieve gains.  Accountability - This position will escalate to the respective market CFO, National Revenue Cycle VP, KP Health Plan and other stakeholders, as appropriate.  This leader is expected to build a high performance team achieving operational excellence in key performance areas as measured and supported by metrics.  He/she also assures compliance with internal policies and State and Federal regulations.Management - Responsible for the day-to-day operations and end to end management of people, processes and systems supporting the Markets patient service revenue. Provides leadership through both line and matrix organizational structures supporting the revenue cycle. Provides leadership and subject matter expertise related to the development of a compliant, comprehensive non-dues revenue cycle across the Market. Build a high-performance team achieving operational excellence in key performance metrics and will optimize patient service revenues assuring compliance with internal policies and State and Federal regulations.Essential Responsibilities:Delivering a Compliant Revenue Cycle Service that balances, Speed (AR Days), Effectiveness (Net Revenue) and Efficiency (Cost to Collect)Ensure that the revenue cycle strategy aligns with and supports the overall revenue cycle program and Kaiser Permanente’s business objectives.Develop a high-performance team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.  Recruit and build leadership and management talent throughout the revenue cycle operation while ensuring talent has effective succession and career growth opportunities.Ensure transparency on goals and performance improvement throughout the revenue cycle process.As part of the overall Revenue Cycle leadership team, develop and implement a market specific strategic and operational plan for revenue cycle that aligns with the overall Program-wide plan and addresses financial performance, customer service, IT, human resources, and regulatory requirements.  Lead the Market to continuously improve their revenue cycle performance through data and metrics.  Monitor and provide regular reporting on key performance metrics including actual vs. expected results for financial targets, budgets, compliance, quality, customer service, and productivity/efficiency.Help lead the effort to build revenue cycle business literacy across the Market and throughout the organization.Lead the development of a standard business process environment for the Markets in accordance with the Program-wide strategy.  Frequently and effectively communicate the revenue cycle vision and plans throughout the company. Use targeted communications that are appropriate to the various stakeholders. Provide advice and counsel to executive leaders concerning revenue cycle issues, including regulatory and compliance, as well as industry trends.Lead effectively across matrix structures achieving high performance outcomes.Provide subject matter expertise in areas such as billing, collections and bad debt, payment processing, denial management, accounts receivable finance operations, health information management (HIM), patient financial services, fee schedule development and maintenance, documentation and coding, and charge capture.  This position has a target base salary of $229,500 to $286,875 and is eligible for incentive compensation, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable.#LI-RemoteQualificationsBasic Qualifications:ExperienceMinimum fifteen (15) years of progressive experience within the healthcare provider revenue cycle, including leadership/management experience, consulting and/or project management experience in revenue cycle design and optimization.EducationBachelors degree in healthcare administration, finance or another related field.License, Certification, RegistrationN/AAdditional Requirements:Strong expertise in provider-based revenue cycle operations and industry best practices including billing, collections and bad debt, payment processing, denial management and accounts receivable finance operations, fee schedule, documentation and coding, charge description master and charge capture.Demonstrated understanding of the operations and/or business of large healthcare systems, revenue cycle management, especially the functional areas of billing, collections and bad debt, payment processing, denial management and accounts receivable finance operations, medical records and/or patient financial services, fee schedules, documentation and coding, charge capture and health information management.Experience in managing complex, large-scale projects and/or multiple departments and establishing detailed work plans and setting priorities.Familiarity with revenue cycle information systems and how they can be leveraged to systemize good process. Proven leadership skills in a matrix management environment that includes influencing, efficiency, collaboration, candor, and openness with a focus on results orientation.Preferred Qualifications:A Masters degree in Business Administration, Public Health, Health Administration or other related field preferred.Business expertise, financial acumen, and interpersonal skills to effectively work through a matrixed, complex and political organization to influence and facilitate sustainable change.Advanced interpersonal communication skills (written and verbal) to deal effectively with delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.Experience in leading successful large-scale business transformation initiatives.Strong, collaborative leader who can partner with multiple and geographically dispersed stakeholders to develop solutions to complex process and organizational issues.Job Field: Accounting, Finance and Actuarial ServicesJob Type: StandardSchedule: Full-timeJob Level: Director/Senior DirectorTravel: Yes, 15 % of the TimeEmployee Status: Regular

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