Director Medical Group Revenue Operations, Service Area 3

Employment Type:
Full time Shift:
Description:
Purpose

Accountable for leading, guiding, & directing revenue cycle standard work. Provides effective use of system resources to drive optimal revenue cycle outcomes and performance measures. Enables regional level strategy to address internal or external business & regulatory issues; provides functional expertise & ensures fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Maintains awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.
Essential Functions

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Leadership

• Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.

• Enable Collaboration across & within service area, RHM, & Regions to ensure consistency & integration of strategy & operations
Direction & Growth

• Providing advice, guidance, & leadership to service area, functional area, RHM, & Regions.

• Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice

• Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend
Strategic Support & Accountability

• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives

• Responsible for supporting regional efforts to comply with functional area priorities

• Accountable for the selection, evaluation, & overall success of the functional leadership teams

• Organization-wide focal point for establishing functional strategies & governance over financials & staffing

• Accountable for communication between service area, functional area, RHM, & Regions leader
Operational Delivery

• Responsible for measuring & reporting KPIs/metrics & value delivery

• Providing advice, guidance, & leadership for the colleague life cycle

Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications

- Bachelors degree in business, healthcare administration or a related field, or equivalent combination of education and experience

- Seven (7) to ten (10) years of progressive experience in revenue cycle operations, revenue metrics & analytics & revenue management.

- Five (5) years of management experience in a multi-facility, integrated health care delivery system, or revenue cycle consulting experience.

Additional Qualifications (nice to have)

- Experience with revenue cycle & accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines, & work processing. Epic experience strongly preferred.

- Experience with medical group front office operations, ICD-10 & CPT coding & medical terminology, with federal, state, & payer-specific regulations relating

Physical & Mental Requirements & Working Conditions

Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate the provision of healthcare services.)

- Rare clinical / patient facing work environment.

- Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit conditions; may encounter occa