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Director of Contract Revenue Operations

4 months ago

Cambridge, United States Vinfen Full time

Schedule: Mon-Fri 9am-5pm

Salary: To be determined

The Director of Contract Revenue Operations reports to the VP of Finance and Revenue Operations of Vinfen, and is responsible for the timely and efficient billing, collection, and reporting of all state contract and grant based revenue of Vinfen Corporation and its affiliates. The Director of Contract Revenue Operations is responsible for designing, implementing, and monitoring documents and systems for billing reconciliations and internal controls around the same. The Director collaborates with managers of program operations to ensure operations staff produce timely and effective billing information that complies with private, state, and federal requirements and regulations. He or she is responsible for managing the Contract Management and Billing team so staff understand all relevant information and requirements related to state funded contract billing and reimbursements and its variations between purchasing agencies. The Director of Contract Revenue Operations ensures the company's goals of effective revenue cycle management, collections against billed amounts, payment postings and targeted days of open (uncollected) accounts receivable and the aging of those receivables are met.

The Director of Contract Revenue Operations include:

* Manages oversight of all business-related functions of the Contract Revenue Team, including tracking the flow of contract documents, utilization against contracts, unit- and cost contract billing, recording of invoices, payment identification and posting, accounts receivable follow-up and information systems maintenance, and the internal controls related to these functions.
* Develops and maintains deep knowledge of contract requirements and formats of supporting documentation (Service Delivery Reports, Cost Contract details), ensures accurate contract billing.
* Establishes and maintains relationships with key personnel at contracting/granting agencies (DMH, DDS, DMHAS, DTA, MRC, MBC etc) and their field offices.
* Collaborates with other departments/programs, especially program operations, to design systems, train staff, monitor and implement changes needed to ensure effective and timely revenue workflow.
* Monitors billing regulations and payer requirements for changes; communicates and coordinates implementation of billing regulation and payer requirement changes to staff and program operations.
* Develops and oversees the SNAP benefit management process and builds management level

relationships with funding agency stakeholders.
* Oversees and monitors cash application procedures and contributes to cash forecasting processes. Oversees the collection and monitoring of contract utilization metrics.
* Resolves escalated reimbursement issues with granting/contracted agencies and other payers.
* Develops, implements, and maintains standard operating procedures for the Contract Revenue team,
* Hires, trains, and develops assigned staff.
* Conducts annual performance evaluations for assigned staff, including goal setting and counseling where appropriate.
* Conducts regularly scheduled meetings with staff to communicate issues regarding procedures, processes, and overall effectiveness.
* Develops, monitors, and assesses revenue metrics to refine processes and improve performance.
* Oversees maintenance and updates of the relevant modules, set-up, and data tables in the electronic health record systems and works to ensure accuracy and timeliness of the relevant billing reports.
* Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters.
* Ensures analysis, documentation and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims.
* Ad hoc reports and presentations, as needed.
* Performs other related duties, as assigned.

Why Vinfen?

We are committed to you We offer great training, great benefits, career growth and job security

* Medical, Dental and Vision Insurance for employees working 30 hours or more
* 15 days of Vacation, 12 Paid Holidays, 10 Sick Days and 3 Personal Days per year (for employees scheduled for 20 hours or more)
* Education Assistance and Tuition Remission Programs as well as innovative Student Loan Payment Programs. Employment with Vinfen counts toward your Public Student Loan Forgiveness eligibility
* Professional Development programs including year-round online training courses and opportunities to earn CEUs
* Retirement savings programs, including a fully funded, employer sponsored retirement plan and an employee funded 403 (b) plan
* Company paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance
* Voluntary Term, Whole Life, Accident and Critical Care Insurance
* Flexible Spending Reimbursement Accounts (Health and Dependent care)
* $500 -- $1,000+ Employee Referral Bonuses with no annual cap
* Other generous benefits including discounted memberships, access to wellness programs and more

About Us

Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,200 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in 318 programs throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

* Bachelor's degree in health care management, accounting, finance, business administration, or related field required. Master's Degree in accounting, finance, business administration or related field preferred. In some instances, experience may be substituted for academic training.
* Five years' contract management and billing experience in a complex health care or human services environment with significant portion of state contract-based revenue and/or revenue management or vendor contract management experience from a Massachusetts State Agency.
* Five or more years' experience with state and federal contract billing requirements and procedures or direct experience with human services service delivery (at a state or provider level) or a combination of both, in total five or more years).
* Experience with billing of MA and CT state funded contracts (DMH, DDS, MRC, DMHAS, DDS CT, etc.) requirements as well as systems experience preferred.
* Five to seven years of management experience at manager level required, director level strongly preferred.
* Understanding of State of Massachusetts EOHHS/DMH/DDS service delivery contract and

compliance.
* Understanding of MassHealth and DMH/DDS billing systems such as MMIS and EIM.
* Experience with ele