VP, Revenue Cycle Market Oversight and Charge Assurance

Description: Job Summary:

Scope - This position oversees and is responsible for the National operations of an industry leading Revenue Management Services Division . This includes oversight of all Markets - Hospital and Physician Practice based services,through the management of people, processes, and systems and in collaboration with Market Revenue Cycle leads, IT, HR, Compliance, Internal Audit, Shared Services, Health Plan, and Medical Group leaders.

Performance -Ensures the highest accuracy and compliant practices related to Revenue Cycle registration, pricing, and charging, while balancing industry acceptable cost to deliver within central services. Manages productivity and expense forecasting and capital and operating budgeting, ensuring efforts support, and are integrated into national shared service strategies. Actively participates with Shared Services and Market Revenue Cycle leads in monitoring, reviewing, and evaluating reserve levels and the impact of current accounting practices on revenue recognition.Quantifies revenue optimization opportunities for the Markets and oversees planning and prioritization of business initiatives to effectively balance quality and cost.

Accountability - This position will escalate tothe SVP of Revenue Cycle Shared Services and notify / inform National, Market, KP Health Plan and other stakeholders, as appropriate. This leader is expected to build a high-performance team achieving operational excellence in key performance areas as measured and supported by metrics. He/she also assures compliance with internal policies and State and Federal regulations.

Management - Responsible for the day-to-day operations and management of people, processes and systems supporting the National Revenue Management services. Provides leadership through both line and matrix organizational structures supporting the revenue cycle. Provides leadership and subject matter expertise related to the development of a compliant, comprehensive revenue cycle across the Enterprise. Build a high-performance team achieving operational excellence in key performance metrics and will optimize patient service revenues assuring compliance with internal policies and State and Federal regulations.

Essential Responsibilities:

• Delivering a Compliant Revenue Cycle Service that balances, quality, efficiency, and cost to deliver.


• Ensure that the revenue cycle strategy aligns with and supports the overall revenue cycle program and Kaiser Permanente's business objectives.


• Develop a high-performance team as measured through the achievement of benchmark process outcomes, audit and compliance results, quality goals and employee satisfaction.


• Recruit and build leadership and management talent throughout the revenue cycle operation while ensuring talent has effective succession and career growth opportunities.


• Ensure transparency on goals and performance improvement throughout the revenue cycle process.


• As part of the overall Revenue Cycle leadership team, develop and implement a National strategic and operational plan for revenue cycle that aligns with the overall Program-wide plan and addresses financial performance, customer service, IT, human resources, and regulatory requirements.


• Lead the program to continuously improve the revenue cycle performance through data and metrics. Monitor and provide regular reporting on key performance metrics including actual vs. expected results for financial targets, budgets, compliance, quality, customer service, and productivity/efficiency.


• Assist in the effort the to build revenue cycle business literacy across the Markets and throughout the organization.


• Lead the development of a standard business process environment for the Markets in accordance with the Program-wide strategy.


• Frequently and effectively communicate the revenue cycle vision and plans throughout the company. Use targeted communications that are appropriate to the various stakeholders.


• Provide advice and counsel to executive leaders concerning revenue cycle issues, including regulatory and compliance, as well as industry trends.


• Lead effectively across matrix structures achieving high performance outcomes.


• Provide subject matter expertise in areas of patient registration charge capture, regulatory reimbursement guidelines, hospital charge description master, strategic pricing, price transparency, market Net Revenue performance and executive updates.

This position has a target base salary of $297,000 to $371,250 and is eligible for incentive compensation, an executive allowance, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable.
Basic Qualifications:

Experience

• Minimum fifteen (15) years of progressive experience within the healthcare provider revenue cycle, including leadership/management experience, consulting and/or project management experience in revenue cycle design and optimization.

Education

• Bachelor's degree in healthcare administration, finance or another related field or 4 (four) years of work experience in a related field is required.


• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• N/A

Additional Requirements:

• Strong expertise in provider-based revenue cycle operations and industry best practices including billing, collections & bad debt, payment processing, denial management and accounts receivable finance operations, fee schedule, documentation & coding, charge description master and charge capture.


• Demonstrated understanding of the operations and/or business of large healthcare systems, revenue cycle management, especially the functional areas of billing, collections & bad debt, payment processing, denial management and accounts receivable finance operations, medical records and/or patient financial services, fee schedules, documentation and coding, charge capture and health information management.


• Experience in managing complex, large-scale projects and/or multiple departments and establishing detailed work plans and setting priorities.


• Familiarity with revenue cycle information systems and how they can be leveraged to systemize good process.


• Proven leadership skills in a matrix management environment that includes influencing, efficiency, collaboration, candor, and openness with a focus on results orientation.

Preferred Qualifications:

• Fifteen+ years in consulting, Revenue Cycle services management, and or management experience in Hospital and Provider-based Revenue Cycle management. Healthcare experience in a health plan, managed care organization, medical group or hospital setting preferred.


• Business expertise, financial acumen, and interpersonal skills to effectively work through a matrixed, complex and political organization to influence and facilitate sustainable change.


• Advanced interpersonal communication skills (written and verbal) to deal effectively with delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.


• Experience in leading successful large-scale business transformation initiatives.


• Strong, collaborative leader who can partner with multiple and geographically dispersed stakeholders to develop solutions to complex process and organizational issues.


• A Masters degree in Business Administration, Public Health, Health Administration or other related field or 6 (six) years of work experience is preferred.

Primary Location: California,Oakland,Ordway
Additional Locations:

Colorado
Georgia
Hawaii
Oregon
Virginia
Washington
Scheduled Weekly Hours: 40
Shift: Day
Workdays: M-F
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE Executives|NUE|Non Union Employee
Job Level: Executive/VP
Department: Po/Ho Corp - Revenue Management Core - 0308
Travel: Yes, 25 % of the Time
Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest

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