Manager Process Improvement HB and PB

POSITION SUMMARY:

Reporting directly to the Associate Director, Revenue Cycle Analytics. The Manager, Process Improvement is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at BMC and BUMG. This will encompass but not limited to the implementation/management of all reporting/process improvement initiatives and analytic tools to support data analysis and comprehensive understanding of all platforms in support of the work initiatives.

The Manager, Process Improvement must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epics Slicer Dicer, and Cubes reporting technology and will provide leadership and mentoring of managers/leads and other revenue cycle staff. The Manager, Process Improvement will oversee the design, implementation, and operation of all enterprise revenue cycle reporting, analytic and process improvement initiatives. The Manager, Process Improvement will also provide oversight to a team of analysts to ensure that revenue cycle reliable metrics, reporting, analytics, and process improvement implementations are provided to BMC & BUMG customers in a timely manner ensuring relevant information is encompassed to aid with decision-making and process change analysis

Drive the vision for how the technology and infrastructure should evolve to best support the evolving reporting analytical, and process improvement needs within Revenue Cycle, and in support of customers. The Manager, Process Improvement will engage with leadership within Revenue Cycle and third party vendors to ensure that reporting, analytic, and process improvement resources are optimally aligned, to meet specific strategic needs of the organization.  The Manager, Process Improvement will be a key contributor to the overall Revenue Cycle leadership team and will participate in planning and organizational improvement initiatives.

Position: Manager Process Improvement HB and PB        

Department: Revenue Cycle

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Oversees 2 business analyst's
• Coordinate internal and external resources to ensure that reasonable goals are established, adequate time is allotted to achieve optimal integration, and deadlines are met
• Manages the daily tasks and activities of the Process Improvement team as performed by the analysts
• Provides training to team leads and analysts to allow them to perform their responsibilities independently
• Oversees reporting and analytic training to BMC & BUMG staff
• Responsible for the production and distribution of enterprise revenue cycle performance reporting; serves as a subject matter expert on data analytics
• Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams
• Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials
• Oversee, implement, and maintain processes for analyzing aging for all payers, and identifies opportunities for accelerating cash and reducing AR >90 days. Identifies trends denial/delay by payer
• Oversee, implement, and maintain processes for analyzing payer denials, identifies and implements prevention opportunities for reducing denials and increasing revenue
• Work with revenue cycle vendors to discover and document the root cause of any related risk management deficiencies and formulating and documenting corrective action plans and related monitoring and reporting to protect against occurrence of such failures.
• Meets regularly with all Revenue Cycle Management and facilitates communication to all team members
• Manages the prioritization efforts for analytics & reporting through the Revenue Cycle prioritization structure
• Understands the evolving business and analytics needs at BMC, BUMG and at peer organizations
• Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset at BMC and BUMG should evolve
• Plans, manages and over-sees projects, utilizing recognized project management methodologies
• Wherever possible, develops plans to reduce redundancy between hospital and physician billing.
• Responsible for developing, reviewing, reporting, monitoring, and enhancing performance on matters pertaining to revenue cycle management
• Oversees the creation of customized reports as requested by system users, and coordinates training for core users on reporting tools
• Devises and recommends new or modified approaches to reporting to improve financial and statistical reporting
• Leads projects outside original scope of work as needed to maintain a high performing revenue cycle
• Performs other duties as assigned by the Associate Director, Revenue Cycle Analytics

Must adhere to all of BMC’s RESPECT behavioral standards

JOB REQUIREMENTS

EDUCATION:

Bachelor's degree in finance, business, healthcare related field or equivalent work experience

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

N/A

EXPERIENCE:

• 7 or more years’ experience in the areas of finance, revenue cycle management, or information systems
• Experience within healthcare required
• 2 years prior management experience preferred
• Strong leadership and supervisory skills needed with an ability to identify and implement continuous process improvements and automation, where appropriate

KNOWLEDGE, SKILLS & ABILITIES (KSA):

Technical

• Demonstrated ability in Epic
• Demonstrated super user ability in third party analytic applications
• Comprehensive knowledge of accounting, finance and business administration, and a practical knowledge of patient financial billing regulations/requirements, reimbursement, and managed care in order to understand the billing systems; review, interpret, and analyze patient financial billing reports and data; and plan, coordinate and prepare for audits
• Comprehensive understanding of patient billing policies, procedures and health insurance standards, as well as familiarity of supervisory/managerial techniques and principles, in order to control hospital financial billing activities

Project Management

• Strong demonstrated project management skills, from vision through implementation. Ability to manage multiple complex projects simultaneously
• Ability to ensure work assignments for team are completed in accordance with an established project timeline
• Ability to negotiate and acquire resources as necessary to appropriately execute on projects

Leadership

• Demonstrated leadership skills, with ability to work with multi-departmental teams and peers
• Demonstrated ability to set vision and motivate stakeholders to realize the vision
• Solid understanding of business environment and operations
• Strong analytical, problem-solving and conceptual skills
• Ability to be part of a cross-departmental and cross-functional team, and participate in the organization and execution of projects
• Excellent oral and written communication skills
• Ability to communicate effectively with both technical and non-technical people

Management

• Demonstrated ability to motivate staff to perform at the highest possible level
• Demonstrated ability to set appropriate priorities for self and staff, and to delegate appropriately
• Ability to manage effectively across multiple tasks and projects under time and resource constraints
• Ability to carefully monitor processes, organize, and maintain documentation
• Ability to take lead on projects outside original scope of work to maintain a high performing revenue cycle

Equal Opportunity Employer/Disabled/Veterans