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Executive Director, Financial Counseling and Compliance

2 months ago

Portland, Oregon, United States Providence Health & Service Full time
About the Role

We are seeking an experienced Executive Director to lead our Financial Counseling and Compliance team at Providence Health & Services. As a key member of our Revenue Cycle Operations team, you will be responsible for ensuring the enterprise's state and federal regulatory compliance, policies, and procedures related to financial assistance programs.

Key Responsibilities
  • Oversee and set standards for financial assistance and financial counseling programs across all Providence Health & Services ministries.
  • Develop and execute plans for financial assistance, leading and participating in strategic efforts to improve operational efficiency and effectiveness.
  • Ensure a streamlined operational experience for business and patient constituent groups.
  • Lead and participate in innovation and automation efforts to improve caregivers' workflow and patient experience.
  • Monitor the timeliness, compliance, and accuracy of the financial assistance application process in a multi-state environment.
  • Develop methods to regularly report on results and collaborate with the data and analytics department on standard reporting.
  • Oversee patient financial counseling functions, Medicaid Pillar results, and uninsured and charity internal and external audits.
  • Develop and maintain a high-performance team by ensuring staffing levels meet budget, all staff are fully trained and empowered to achieve performance and quality targets.
  • Participate in state-led work groups on charity law and compliance in Providence Health & Services' geographic footprint.
  • Oversee departmental budgets within leadership scope, including participation in budget development, approval responsibility, and ongoing monitoring for productivity and cost compliance.
Requirements
  • Bachelor's Degree in General or equivalent education/experience.
  • Master's Degree in Business Administration, Healthcare Administration, Public Administration, or a related field or equivalent education/experience.
  • 5 or more years of experience in revenue cycle leadership.
  • 5 or more years of experience in financial assistance and financial counseling operations.
  • Knowledge of state and federal regulations and third-party contracts pertaining to healthcare reimbursement.
  • Knowledge of state and federal regulations as they pertain to collection processes and procedures.