VP, Revenue Cycle Management

3 days ago

Juneau, United States Humana Full time

Become a part of our caring community and help us put health first

Humana is a Fortune 40 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.

Against that backdrop, we are seeking an accomplished leader for the role of Vice President, Revenue Cycle Management in the Home Solutions division of CenterWell, our wholly-owned healthcare services subsidiary. As one of the nation’s largest home health providers, CenterWell Home Solutions combines the stability and opportunities of a large national company with the ability to make a positive, local impact. We provide care for patients in their homes who are managing a chronic condition or recovering from injury, illness, surgery or hospitalization.

In this role, you will lead and direct the revenue cycle management function (authorization, eligibility verification, payor change management, workflow management, billing, collections, and denials management). As such, you will play a critical role in strategic decision-making and financial operations for our Home Solutions business.

The Vice President will report directly to the Vice President, Chief Financial Officer of Home Solutions and will lead a multi-level organization of roughly 250 employees with 3-5 direct reports. This position can be located anywhere within the lower 48 contiguous states. A modest amount of travel (10-20%) should be expected.

Key Responsibilities:

  1. Develop financial and non-financial key performance indicators (including all areas of revenue, cost of sales, and indirect expenses) and the appropriate reporting to assess financial and operational performance across the Company.
  2. Drive performance against targets across key performance indicators.
  3. Manage external outsourced vendors to ensure high quality and quantity of work.
  4. Proactively surface, address, manage, and monitor financial risks before they impact local branches.
  5. Develop strong working relationships with local branch, area, and regional teams to ensure the FSU is delivering a service that meets their needs.
  6. Identify and implement processes and technologies to improve timeliness and reduce unbilled/denied claims.
  7. Hire, develop, and retain a team of high-performing finance and operations professionals.
  8. Administer and review organizational budget; keep senior leadership team abreast of the organization’s financial status.
  9. Analyze and present financial reports in an accurate and timely manner; clearly communicate monthly and annual financial statements and other key metrics.
  10. Prepare monthly and quarterly financial reports and presentations on key revenue cycle management metrics for senior executives.

Key Candidate Qualifications:

  1. Extensive professional experience (typically 15+ years), with the majority of that experience being in broad finance operations management roles, ideally in the Home Health or Hospice sectors.
  2. Experience in strategic planning, a record of success in leading financial and operational functions for a multi-state branch network, and a strong history of driving significant operational improvement.
  3. A strong leader of people with proven success in expanding and elevating the capabilities and performance of a multi-level team.
  4. Proven record of success in designing and implementing an operational framework and achieving higher levels of operational rigor.
  5. A strong client service mindset.
  6. Ability to translate financial and operational concepts to effectively collaborate with those with and without finance backgrounds.
  7. A successful track record in setting priorities, along with keen analytic, organization and problem-solving skills which support and enable sound decision making.
  8. Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences, both internally and externally.
  9. Current or recent experience in a highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment.
  10. Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
  11. Program and project management experience.
  12. Proven ability to create practical solutions to address business challenges.
  13. Advanced skills in Microsoft Excel, Word, and PowerPoint.
  14. Bachelor’s degree in finance, accounting or equivalent is required.

Scheduled Weekly Hours

40

Application Deadline: 01-10-2025

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.

#J-18808-Ljbffr

  • Senior Manager of Revenue Cycle Informatics

    4 days ago

    Juneau, United States SouthEast Alaska Regional Health Consortium Full time

    Senior Manager of Revenue Cycle Informatics Senior Manager of Revenue Cycle Informatics Apply locations AK - Juneau time type Full time posted on Posted 3 Days Ago job requisition id 2023-7534 Pay Range: $40.99 - $57.51 SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our...

  • Senior Manager of Revenue Cycle Informatics

    1 month ago

    Juneau, United States Southeast Alaska Regional Health Consortium Full time

    SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous...

  • Senior Revenue Integrity Analyst

    1 week ago

    Juneau, AK, United States Highmark Health Full time

    Highmark Health Senior Revenue Integrity Analyst - Juneau, Alaska The position provides practice and regulatory guidance and enhancement to facilities and physician practice or department & physician organization's Revenue Cycle Center (RCC) with end to end procedure optimization. Develops and implements Revenue Cycle regulatory program through a structure...

  • Director, Strategic and OEM Sales

    1 month ago

    Juneau, United States Vontier Full time

    The Company Teletrac Navman is a software-as-a-service (SaaS) provider leveraging location-based technology that empowers people managing mobile assets to move their business forward with certainty. The Position We’re looking to add a Director of Strategic and OEM Sales to join Teletrac Navman! In this role, you will be responsible for generating Strategic...

  • VP Global Ecommerce and Digital Products

    7 days ago

    Juneau, United States Under Armour Full time

    VP Global Ecommerce and Digital Products Location: Juneau, AK, United States Employment Type: Full-Time Posted on: Jun 08, 2022 Profile: The Vice President, Global Ecommerce and Digital Products will be responsible for creating and communicating a compelling vision of the future, defining UA’s digital product strategy and producing and prioritizing digital...

  • New Business Manager

    4 months ago

    Juneau, United States US Foods, Inc. Full time

    Develop a sound business plan to capture and penetrate market share within the division’s footprint, focusing on Division customers with sales potential > $0.5m annually. Responsible for producing new account revenue in line with current organization and individual targets and quotas (minimum of $2 million in first year, $6 million annually in following...

  • Pricing Manager

    1 month ago

    Juneau, United States US Foods Full time

    ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage and execute pricing strategy for area, including recommending and adjusting Sales Representative Cost (SRC) and Price to Customers (PTC) for area and implementing center-recommended policies. Manage weekly commodity and KVI process for the area by analyzing pricing for commodity items and KVIs and leading...

  • Financial Counselor

    2 months ago

    Juneau, United States South East Alaska Regional Health Consortium Full time

    SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it's a fulfilling career. We offer generous...

  • Area Sales Leader 1 South Florida

    1 month ago

    Juneau, United States Marriott Full time

    Additional Information Remote - must reside in MarketLeader supports portfolio of 7 Marriott Select Brand Hotels in Ft. Lauderdale and West Palm Beach Job Number 24142700 Job Category Sales & Marketing Location HR Shared Service East, 7750 Wisconsin Avenue, Bethesda, Maryland, United States Schedule Full-Time Located Remotely? Y Relocation? N Position Type...

  • Senior Project Operations Manager

    2 weeks ago

    Juneau, Alaska, United States Cadmus, LLC Full time

    Cadmus is actively seeking a Senior Project Operations Manager to support the USAID Asia Futures activity. Serving as the USAID Asia Bureau's accelerator and knowledge hub, Asia Futures provides thought leadership, subject matter expertise, analytical support, and local relationships to address interrelated issues of economic growth, democratic governance,...

  • Energy Management Specialist

    3 weeks ago

    Juneau, Alaska, United States Tetra Tech Full time

    Company Overview:Tetra Tech is a leading consulting and engineering firm that combines expertise with advanced analytics and technology to solve complex challenges. We collaborate with industry-leading experts to create a sustainable future for our world.Job Description:The Resource Efficiency Manager will play a crucial role in providing comprehensive...

  • Senior Banking Solutions Strategist

    3 days ago

    Juneau, Alaska, United States Oracle Full time

    **Job Title:** Senior Banking Solutions StrategistAs a world leader in cloud solutions, Oracle is looking for an experienced Senior Banking Solutions Strategist to join our team. This role will play a key part in driving the sales of Oracle's market-leading Banking Solutions focused on Core Banking for both Retail and Corporate Banking.**About the Role:**The...

  • General Manager

    2 weeks ago

    Juneau, United States Aramark Full time

    Job Description About Glacier Bay Lodge: Ever wish you had more daylight hours? Nestled in between coastal mountains, incredible fjords, and Alaska's Inside Passage, Glacier Bay is a remote wilderness experience you don’t want to miss. Develop your hospitality skills in one of the most beautiful places in the world. With almost 20 hours of daylight during...

  • General Manager

    2 weeks ago

    Juneau, United States Aramark Full time

    Job Description About Glacier Bay Lodge: Ever wish you had more daylight hours? Nestled in between coastal mountains, incredible fjords, and Alaska's Inside Passage, Glacier Bay is a remote wilderness experience you don’t want to miss. Develop your hospitality skills in one of the most beautiful places in the world. With almost 20 hours of daylight during...

  • Highly Skilled Civilian Project Manager

    2 weeks ago

    Juneau, Alaska, United States Air Force Civilian Service Full time

    Company Overview: The Air Force Civilian Service (AFCS) is a dynamic organization seeking talented professionals to support the United States Air Force. Our mission is to deliver war-winning capabilities through innovation, talent, and ambition.Salary: $100,713-$130,173 per annum, depending on experience and qualifications.Job Description: As a General...

  • Key Payroll Operations Specialist

    2 weeks ago

    Juneau, Alaska, United States Creative Financial Staffing Full time

    Seeking a Key Payroll Operations Specialist to join our team in the vibrant Madison area. This role offers an exciting opportunity to apply your payroll expertise with a leading manufacturer and contribute to a collaborative environment.About the Company:We are a leader in the manufacturing sector, known for our forward-thinking approach and commitment to...

  • Department Manager

    4 weeks ago

    Juneau, United States Petco Full time

    Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what’s right for pets, people and our planet. We love...

  • Oracle University Sales Consulting Director

    1 week ago

    Juneau, United States Oracle Full time

    Oracle University Sales Consulting Director - Juneau, Alaska Are you a thoughtful, partnership-oriented professional interested in solution selling? Oracle University is looking for you! Oracle University is Oracle’s education business that trains customers, partners, and employees on all of Oracle cloud services, now part of Oracle Customer Success...

  • Psychiatrist Opportunity in Anchorage, Alaska

    2 weeks ago

    Juneau, Alaska, United States Delta Companies Full time

    OverviewDelta Physician Placement is seeking a qualified Psychiatrist to join our team at a hospital based in Anchorage, Alaska. This opportunity offers a unique blend of urban amenities and access to outdoor recreation.Compensation and BenefitsThe estimated salary for this position is $256,313.89 to $410,102.22 per year, depending on experience....

  • Psychiatrist - Outpatient Specialist

    1 month ago

    Juneau, Alaska, United States Delta Companies Full time

    Compensation and BenefitsHiring Range: $256,313.89 to $358,839.44Pay Range: $256,313.89 to $410,102.22Relocation: $30kSign on: 10% of base salaryRetention: 10% of salary 2-year markCME: 5 days + allowanceStudent Loan Repayment through NHSC - ISHBase Increases up to 7% accrues annuallyPTO: Yes - Over 400 hours paid out if not used. Plus 13 Federal...