Washington University in St Louis
Director of Revenue Cycle & Business Development - Emergency Medicine
Washington University in St Louis, Saint Louis, Missouri, United States, 63146
Scheduled Hours
40
Position Summary
Responsible for the overall effectiveness of the revenue cycle process and business development strategic initiatives of the department. Works closely with the Executive Director and other senior leadership to optimize revenue cycle operations; and works collaboratively with other departments across the revenue cycle and health system to ensure revenue cycle processes are efficient, effective and compliant. Assists in business development initiatives related clinical mission growth.
Job DescriptionPrimary Duties & Responsibilities
Revenue Cycle Leadership/Excellence
Performs financial review and analysis, reimbursement analysis and budget analysis. Assists the department Leadership in establishing business plans.
Implements strategies to maximize reimbursement for the department. Works collaboratively with the billing/coding team within the department and medical school partners in Physician Billing Services to achieve these goals.
Prepares and distributes monthly performance metrics as it relates to revenue cycle performance.
Recommends and develops strategies for revenue enhancements across the clinical mission of the department.
Consults and makes recommendations to senior management and institution partners on significant revenue cycle and/or government payer issues.
Develops effective action plans and implements to successful conclusion.
Actively participates in service line-specific strategic planning and revenue cycle prioritization and planning.
Provides oversight of Charge Description Master functions and reimbursement analysis.
Business Development
Provides business decision support for clinical expansion strategic goals.
Provides strategic expertise towards business aspects of contractual relationships, including hospital and community contracts.
Provides multi-year financial forecast based on department objectives; considers and addresses the financial impacts of new initiatives as well as those associated with internal and external trends and changing regulations (e.g., reimbursement changes); ensures long-term, fundamental financial stability and growth of the department.
Serves as an in-house consultant and trusted advisor by assuming an active role in the management and coordination of strategic planning and business development initiatives.
Provides recommendations for geographic expansion, growth, mission, program distinction/recognition and/or revenue enhancement.
Develops market analysis to evaluate competitive landscape (pull, analyze and interpret data).
Identifies relevant trends among important stakeholders.
Develops go-to-market strategies for new or expanding services.
Identifies risks, mitigation factors, and key performance indicators.
Leads in the development and management of work plans to produce deliverables and meet target deadlines.
Innovation
Handles high-priority and ad-hoc projects.
Works collaboratively with the department’s informatics and analytics team to develop innovative ways to further revenue cycle and business development.
Other Functions
Observes compliance with Governmental agencies, University, Medical School and Department mandatory training programs.
Represents the Department/Medical School/University and participates as a member on various committees and activities.
Performs other duties as assigned.
Preferred Qualifications
Master’s degree (MHA, MBA, MPH).
Experience in a complex and matrixed organizational structure.
Experience in an academic medical center or community practice environment.
Very experienced in using analytic software packages.
Proven ability to determine key revenue cycle/regulatory issues.
Ability to operate at a strategic business level and fully incorporate revenue cycle strategies within all projects/programs.
Demonstrated effective verbal, written and interpersonal communication skills including ability to present to senior leadership and stakeholders at varying leader levels along with the ability to communicate effectively with diverse populations in a complex academic environment.
Must be proficient and creative in gathering, analyzing data and presenting findings.
Strong project management skills essential.
Experience in and knowledge of Revenue Cycle or Healthcare Finance.
Demonstrated ability in new business development and clinical expansion initiatives related to emergency medicine contract negotiations and reimbursement models.
Strong leadership, management and organizational skills, with emphasis on analytical thinking, negotiation and conflict management skills.
Ability to deal effectively with ambiguity, make quality decisions.
Business acumen (including market analysis, financial and operational modeling, due diligence, etc.).
Required QualificationsBachelor’s degree in relevant discipline and five years of related experience or equivalent education and experience totaling nine years.
Grade
G15
Salary Range
$84,200.00 - $148,500.00 / Annually
EEO/AA StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups.
Diversity StatementWashington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives.
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40
Position Summary
Responsible for the overall effectiveness of the revenue cycle process and business development strategic initiatives of the department. Works closely with the Executive Director and other senior leadership to optimize revenue cycle operations; and works collaboratively with other departments across the revenue cycle and health system to ensure revenue cycle processes are efficient, effective and compliant. Assists in business development initiatives related clinical mission growth.
Job DescriptionPrimary Duties & Responsibilities
Revenue Cycle Leadership/Excellence
Performs financial review and analysis, reimbursement analysis and budget analysis. Assists the department Leadership in establishing business plans.
Implements strategies to maximize reimbursement for the department. Works collaboratively with the billing/coding team within the department and medical school partners in Physician Billing Services to achieve these goals.
Prepares and distributes monthly performance metrics as it relates to revenue cycle performance.
Recommends and develops strategies for revenue enhancements across the clinical mission of the department.
Consults and makes recommendations to senior management and institution partners on significant revenue cycle and/or government payer issues.
Develops effective action plans and implements to successful conclusion.
Actively participates in service line-specific strategic planning and revenue cycle prioritization and planning.
Provides oversight of Charge Description Master functions and reimbursement analysis.
Business Development
Provides business decision support for clinical expansion strategic goals.
Provides strategic expertise towards business aspects of contractual relationships, including hospital and community contracts.
Provides multi-year financial forecast based on department objectives; considers and addresses the financial impacts of new initiatives as well as those associated with internal and external trends and changing regulations (e.g., reimbursement changes); ensures long-term, fundamental financial stability and growth of the department.
Serves as an in-house consultant and trusted advisor by assuming an active role in the management and coordination of strategic planning and business development initiatives.
Provides recommendations for geographic expansion, growth, mission, program distinction/recognition and/or revenue enhancement.
Develops market analysis to evaluate competitive landscape (pull, analyze and interpret data).
Identifies relevant trends among important stakeholders.
Develops go-to-market strategies for new or expanding services.
Identifies risks, mitigation factors, and key performance indicators.
Leads in the development and management of work plans to produce deliverables and meet target deadlines.
Innovation
Handles high-priority and ad-hoc projects.
Works collaboratively with the department’s informatics and analytics team to develop innovative ways to further revenue cycle and business development.
Other Functions
Observes compliance with Governmental agencies, University, Medical School and Department mandatory training programs.
Represents the Department/Medical School/University and participates as a member on various committees and activities.
Performs other duties as assigned.
Preferred Qualifications
Master’s degree (MHA, MBA, MPH).
Experience in a complex and matrixed organizational structure.
Experience in an academic medical center or community practice environment.
Very experienced in using analytic software packages.
Proven ability to determine key revenue cycle/regulatory issues.
Ability to operate at a strategic business level and fully incorporate revenue cycle strategies within all projects/programs.
Demonstrated effective verbal, written and interpersonal communication skills including ability to present to senior leadership and stakeholders at varying leader levels along with the ability to communicate effectively with diverse populations in a complex academic environment.
Must be proficient and creative in gathering, analyzing data and presenting findings.
Strong project management skills essential.
Experience in and knowledge of Revenue Cycle or Healthcare Finance.
Demonstrated ability in new business development and clinical expansion initiatives related to emergency medicine contract negotiations and reimbursement models.
Strong leadership, management and organizational skills, with emphasis on analytical thinking, negotiation and conflict management skills.
Ability to deal effectively with ambiguity, make quality decisions.
Business acumen (including market analysis, financial and operational modeling, due diligence, etc.).
Required QualificationsBachelor’s degree in relevant discipline and five years of related experience or equivalent education and experience totaling nine years.
Grade
G15
Salary Range
$84,200.00 - $148,500.00 / Annually
EEO/AA StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups.
Diversity StatementWashington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives.
#J-18808-Ljbffr