Revenue Cycle
1 month ago
This Jobot Job is hosted by: Lauren Lehman
Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.
Salary: $70,000 - $85,000 per year
A bit about us:
We are representing a client that works within the private equity sector that is seeking a Revenue Cycle & Payor Strategies Specialist who will be handling RCM processes and optimizing payor contract strategies across the portfolio companies.
They are offering a great work environment and growth within the organization
Apply today to learn more
Why join us?
- Competitive Base Salary
- Competitive Bonus
- Complete Benefits Package
- Accelerated Career Growth
- 401k match
Job Details
Job Description:
- Collaborate with the Chief Revenue Officer (CRO) to drive key RCM initiatives, including process enhancements, data analysis, and growth infrastructure improvements.
- Identify and implement RCM process improvements by analyzing large data sets to pinpoint performance issues, establishing standard operating procedures, and developing scalable Power BI dashboards for key performance indicators.
- Support portfolio companies with RCM engagements focused on organizational restructuring, labor management, cost analysis, and the selection of electronic medical record (EMR) systems.
- Prepare portfolio companies for exit by streamlining revenue cycle processes and establishing effective, scalable RCM infrastructures.
- Payor Strategies Center of Excellence (COE):
- Assist the Head of Payor Strategies in conducting strategic reviews of payor contracts and reimbursement strategies.
- Support contract review and negotiation strategies by utilizing SCP data assets to analyze rate structures, competitive rates, quantify rate lift opportunities, and identify referral patterns and growth opportunities.
- Leverage AI tools and technologies to research CMS, state, and payor trends affecting SCP companies. Use these insights to proactively inform companies of billing/reimbursement trends, identify new opportunities, and refine negotiation strategies for optimal rate positioning.
- Contribute to the due diligence process for acquisitions by evaluating payor contract language and reimbursement data, identifying opportunities for synergies and improvements.
- Implement systems and processes to help portfolio companies manage payor contracting targets, renewal pipelines, and contract integration during acquisitions.
Professional Qualifications:
- Bachelor’s degree required.
- 5-8 years of relevant experience in revenue cycle management, managed care contracting, or healthcare consulting, preferably in a private equity, multi-site healthcare, or consulting environment. Familiarity with managed care rates and language is essential.
- Advanced proficiency in Excel, Power BI, and PowerPoint, with strong capability in handling large data sets and creating insightful models.
- Strong analytical skills for data modeling, financial analysis, and rate comparisons for managed care contracts.
- Exceptional communication and presentation skills, capable of conveying complex data and strategic insights to board members and external stakeholders.
- Proven ability to manage multiple projects in a fast-paced environment and influence outcomes across the organization.
- Experience in healthcare consulting or private equity is preferred.
Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.
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