You might also like
in Phoenix, AZ
Senior Director Revenue Integrity, Optum360 - Phoenix, AZ Preferred or Telecommute - Full-time / Part-time
Hours | Full-time, Part-time |
---|---|
Location | Phoenix, AZ Phoenix, Arizona |
About this job
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
The Senior Director, Revenue Integrity is directly responsible for providing system level leadership and oversight for Optum 360 Revenue Integrity functions in an assigned region. The Senior Director will work to leverage performance in the region, providing feedback and influence to continually improve client, patient, physician, employee satisfaction levels. The Senior Director, Revenue Integrity is a critical member of the Optum 360 Middle Revenue Cycle Leadership team, and leads the Optum 360 management teams in the assigned region. The Senior Director drives continuous improvements in the development and deployment of standard Policies and Procedures, management tools, and strategies targeted to improve quality and financial performance in the facilities in the assigned region. The Sr. Director utilizes historic and current data to monitor and track performance and trends, and escalates issues in order to improve business and advance Service Level Agreement commitments.
Primary Responsibilities:
Drives the integration of the Optum 360 Revenue Integrity functions and processes in the client patient care and business environment
Leads initiatives to increase efficiency, help manage cost, and maximize the realization of revenue while encouraging innovation and collaboration
Understands best practice technology solutions for Revenue Integrity and effectively builds businesses case for the implementation of such solutions
Collaborates with Optum 360 and client IT Leadership to deploy best practice technologies that aide in the improvement of the patient experience
Utilizes data and metrics to drive the development and implementation of process improvement and standardization within Revenue Integrity Functions, resulting in improvements in operations and overall client, patient, physician and employee satisfaction
Effectively develops and manipulates large data sets, analyzes segments and data groups, to support the development and implementation of process and strategy changes
Leverages Optum 360 and client relationships to gain support and participation in strategies and initiatives and to drive repeatable processes across facilities, creating economies of scale and improving overall performance
Proactively collaborates with Revenue Cycle Leaders to investigate negative trends or variances; leverages system and client relationships to resolve performance issues
Provides complete, accurate and timely reporting of Mid Revenue Cycle data metrics to executive leadership
Actively participates in regularly scheduled meetings at the System Level and with regional Revenue Integrity Leaders, providing appropriate data as needed
Proactively escalates risks and issues to executive leadership, resulting in timely and effective resolution
Champions education processes in client facilities regarding Optum 360 policy changes, updates, and compliance information regarding revenue or payer requirements
Utilizes tools provided to maintain awareness of client satisfaction; ensures effective and timely resolution of issues; drives continuous improvement in client satisfaction measures
Proactively monitors performance against Service Level Agreement commitments; takes appropriate and timely action to escalate risks, issues, and drive resolution
Maintains knowledge of the processes related to financials in the revenue cycle model; supports activities and initiatives that result in improved efficiency and financial performance
Maintains expert level knowledge of the processes related to Revenue Cycle Operations; supports activities and initiatives that result in improved efficiency and financial performance
Requirements
Required Qualifications:
Bachelor's Degree
Experience leading a program with spend of $100M or more
10+ years of experience in Healthcare Revenue Cycle Operations
10+ years of experience with charge master principles and the relationship to coding, billing, compliance in a hospital setting
Experience leading large diverse teams
Experience interacting directly with clinicians
7+ years of experience with oversight responsibility for related IT systems
Experience managing Revenue Cycle related technology implementation
Prior experience with the major HIS and billing technologies currently in use
Proficiency with Microsoft Excel, Word, Project, PowerPoint and SharePoint
Preferred Qualifications:
Advanced Degree such as MBA, MPH
10+ years of experience in Healthcare Revenue Cycle Operations including large system level experience
Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities. Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide. If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: director revenue integrity, revenue cycle, CDM, Phoenix, Arizona, AZ, telecommute