
Revenue Cycle Program Director - CBO Patient Financial Services - Full Time - Days
- Norwood, OH
- Permanent
- Full-time
- Support the accomplishment of departmental strategic plans that achieve high impact and significant improvements in organizational performance.
- Provide leadership, consultation, and support for continuous Revenue Cycle initiatives within the department in support of organizational goals.
- Staff the Revenue Cycle Governance Committee (RCGC). Coordinate the preparation of all agenda items presented to the committee and develop and staff a preparation workgroup.
- Systematically apply and teach the science and theory of project management to achieve results on time and within budget.
- Make recommendations to Revenue Cycle leadership on work redesign efforts that assure an efficient and cost-effective department.
- Identify and address change management issues related to the evolution of the Revenue Cycle environment.
- Provide leadership for and actively participate in departmental and institutional activities and programs.
- Lead teams, committees, and special projects as assigned.
- Assist in the planning, design, development, implementation, maintenance, and evaluation of business systems and processes to support Revenue Cycle operations and patient care delivery.
- Perform analysis of department and end-user business needs. Document end-user requirements. Utilize technical, analytical, and customer service skills, knowledge of regulatory requirements, and Revenue Cycle policy and practices to identify options to meet end-user needs. Articulate the costs, risks, and benefits of all options presented to enable informed decision-making.
- Participate in activities with interrelated teams including IT project management, testing, support, training, technical, and interface teams.
- Coordinate functional testing and implementation of IT programs and systems, including preparation of scripts and data for system testing.
- Review the pre-initiation documentation and agree to project problem, customer needs and environment, and requirements.
- Work with the Project Sponsor and other key team members to validate project approach, goals, objectives, and deliverables.
- Create and update project documentation (project scope, team members and stakeholders, milestone schedule, budget, risks, constraints, and assumptions).
- Conduct stakeholder analyses.
- Work with sponsor and/or appropriate committee(s) to obtain project authorization.
- Research industry standards.
- Develop detailed work plans, schedules, estimates, resource plans, and status reports.
- Conduct project meetings and hold responsibility for project tracking and analysis.
- Coordinate event planning and logistics.
- Set, communicate, and continually manage project expectations with team members and other stakeholders.
- Analyze the design of Revenue Cycle processes, work, and data flows. Make recommendations to leadership that improve patient, provider, and staff satisfaction, gain efficiency, decrease cost, and reduce waste.
- Foster and implement systems that lead to proper data governance strategies that support Revenue Cycle operations and secondary uses of EHR data including but not limited to:
- Measuring the quality, safety, and efficacy of care,
- Supporting decision making,
- Setting policy,
- o Improving clinical, financial, and administrative performance, and
- o Monitoring resource utilization.
- Set, communicate, and continually manage program/project expectations with team members and other stakeholders.
- Contribute information to and recommendations for strategic plans and reviews.
- Support the creation of executive, departmental, and unit operational benchmarking activities and reporting for assigned projects.
- Prepare well-supported business cases in alignment with organizational and departmental objectives and shepherd business cases through purchasing, capital, and IT governance and contract negotiation, as applicable.
- Collaborate with Revenue Cycle leadership to implement production, productivity, quality, and customer-service standards and standard work.
- Collaborate in the preparation of requests for proposal (RFP) or requests for information (RFI) and participate in the evaluation of RFP and RFI responses.
- Research various topics regarding Revenue Cycle and prepares reports and presentations.
- Develop and maintain professional relationships with colleagues and staff within the Revenue Cycle, within TCHHN, and with outside entities to promote mutual understanding and respect.
- Work within the department, across the organization, and with clinical and senior leadership to meet organizational goals.
- Act as a liaison to IT and clinical personnel.
- Provide project management and quality improvement support to co-workers and customers as assigned.
- Think strategically and broadly when identifying issues and developing potential solutions.
- Demonstrate consistent use of Lean methodology for problem analysis and improvement.
- Demonstrate the ability to manage multiple projects and work in a balanced manner.
- Provide leadership in the consistent application of the plan-do-check-act (PDCA) cycle as the process for continuous quality improvement (including the identification of internal and external customers, recognition of re-work/waste, flowcharting, root cause identification, brainstorming, and use of data); and embrace the organization's strategic objectives.
- Analyze data to identify opportunities for improvement and make recommendations of proactive steps to address concerns to appropriate Revenue Cycle leaders.
- Bachelor's degree in a relevant field, e.g., Public Administration, Business Administration, Engineering, Information Technology, Health Sciences.
- Eight or more years of progressive management experience or project management experience.
- Familiarity with electronic health record applications.
- Proven experience in managing complex enterprise projects and/or operations.
- Demonstrated expertise in creating and maintaining deliverables such as project scope and plan, status reports, cost estimates, communication plan, presentations, risk management plan, milestone/deliverable charts.
- Demonstrated experience in managing issues, scope, and quality while bringing projects to successful completion within the cost and time requirements.
- Proficiency with desktop management software, including Microsoft Word, Excel, PowerPoint, Power BI, Project, Visio, SharePoint, OneNote.
- Strategic and conceptual analytical thinking.
- Ability to analyze financial plans and budgets.
- Demonstrated expertise in working with diverse cross-functional teams.
- Extensive knowledge of project management methodologies such as Agile, Waterfall, and Critical Path Method.
- Knowledge of and competency in management processes.
- Knowledge and experience utilizing continuous process improvement methodologies, such as Plan-Do-Check-Act, Lean, and Six Sigma. Adhere to highly-reliable organizational (HRO) principles to improve work processes and solutions.
- Ability to plan and facilitate meetings.
- Demonstrated excellent time-management skills.
- Demonstrated strong decision-making skills.
- Demonstrated initiative, adaptability, and focus.
- Demonstrated effective oral and written communication, and presentation skills.
- Exceptional relationship building and interpersonal skills.
- Master's degree in Computer Science, Business Administration, Public Administration, Information Science, or related field.
- Knowledge of regulatory and compliance issues, including HIPAA and Medicare and Joint Commission requirements.
- Demonstrated knowledge of the patient care process, both inpatient and outpatient.
- Knowledge of applied statistics, process analysis, and outcomes analysis.
- Certified Project Manager (PMP) or Certified Associate in Project Management (CAPM).