University of Texas Southwestern Medical Center
Manager, Government Provider Enrollment - Revenue Cycle
University of Texas Southwestern Medical Center, Dallas, Texas, United States, 75215
JOB SUMMARY:
The Revenue Cycle Department is seeking a candidate who is an expert in government provider enrollment (PE) and experienced with PE in an academic setting preferred. Manages campus-wide governmental provider enrollment functions and monitors impacts to the revenue cycle performance. The successful candidate duties and responsibilities will include but not limited to the following:Familiar with PECOS, NPPES, and EPIC.Manage one (1) direct report with indirect reports of 16 staff, with all staff directly reporting to a supervisor.Direct responsibility for governmental provider enrollment for all providers in our large academic practice.Meeting facilitation with hospital partners and other entities, impacted by our governmental provider enrollment.Works in concert with facility credentialing and medical staff credentialing teams.Monitors, in conjunction with supervisor, staff production and quality.Direct communications with department leaders regarding statuses of their providers' enrollments.Assure quality information maintained in provider enrollment platform, to include service addresses, taxonomies, licenses, and effective/term dates.Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern Medical Center is committed to excellence, innovation, teamwork, and compassion. We invest in you with opportunities for career growth and development that align with your future goals and help to provide security for you and your family. Our highly competitive benefits package offers healthcare, PTO and paid holidays, merit increases and so much more that are all available on the day you start work.VETERANS:
We are honored to be a veteran friendly work environment that is home to hundreds of veterans. We value your integrity, dedication, and the commitment you have made to our country. We are proud to support your next mission. Ranked by Forbes as one of the Top 10 National Employers, we invite you to be a part of the UT Southwestern Medical Center team where you will discover teamwork, professionalism, and consistent opportunities for growth.Other details:
Shift: 8-hour daysThe preferred applicant lives in Texas, DFW area is preferred.EXPERIENCE | EDUCATION: REQUIRED:
Bachelor's degree in Business Administration, Health Care Administration, or other related fieldAnd eight (8) years management level experience in academic medical center, hospital environment or other relevant leadership experience.JOB DUTIES:
Develops, implements, monitors, and manages all aspects of Governmental Provider enrollment for UTSW's Medical Group.Manages communications to key stakeholders across UTSW to include Department leadership, Credentialing teams, Managed Care (MCO) team, and is critical to facilitating linkage between these teams; assuring the governmental provider enrollment processes act in-concert with Physician Hiring/Onboarding, Credentialing and Managed Care contracting.Oversees and participates in quarterly financial reviews and annual audits with internal and/or external auditors.Facilitates Quarterly campus wide meetings in conjunction with UTSW Credentialing Team and Southwest Health Resources group.Provides ongoing analysis as needed to Department Chairs and other members of the upper management team.Serves as key participant in system and process improvement projects that are sponsored by the Departments.Assists with providing ongoing revenue accounting oversight to the Finance and Accounting arm of the Medical Center and Clinics.Assists in the preparation of monthly management reports providing key revenue and operational metrics and analysis.Assists in optimizing financial systems and processes resulting in more efficient financial processes and controls to ensure the highest level of data integrity and accuracy.Interprets policies and regulations concerning department's financial activities, including university policies and procedures and Federal and State agency guidelines.Assists with developing written justification to support budget proposals, expenditure items, and financial policy matters.Ensures compliance with applicable laws, regulations, policies, and procedures.Performs other duties as assigned.KNOWLEDGE, SKILLS & ABILITIES:
Work requires exercise of judgment.Work requires proven leadership and communication skills and experience in business planning, financial analysis, and/or strategic planning.Proven leadership and communication skills.Work requires that incumbent be vested with final authority to make decisions within limits of established policies and practices.Work requires contact outside department or component which is related to resolution of problems of non-routine nature which require explanation of facts to effect establishment and/or revision of policies and programs or to obtain assistance of representatives of outside organizations to arrive at final determination.Work requires incumbent to determine methods or approaches to work problems.WORKING CONDITIONS:
Work is performed mostly in private office with almost complete absence of disagreeable working conditions.SECURITY:
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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The Revenue Cycle Department is seeking a candidate who is an expert in government provider enrollment (PE) and experienced with PE in an academic setting preferred. Manages campus-wide governmental provider enrollment functions and monitors impacts to the revenue cycle performance. The successful candidate duties and responsibilities will include but not limited to the following:Familiar with PECOS, NPPES, and EPIC.Manage one (1) direct report with indirect reports of 16 staff, with all staff directly reporting to a supervisor.Direct responsibility for governmental provider enrollment for all providers in our large academic practice.Meeting facilitation with hospital partners and other entities, impacted by our governmental provider enrollment.Works in concert with facility credentialing and medical staff credentialing teams.Monitors, in conjunction with supervisor, staff production and quality.Direct communications with department leaders regarding statuses of their providers' enrollments.Assure quality information maintained in provider enrollment platform, to include service addresses, taxonomies, licenses, and effective/term dates.Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern Medical Center is committed to excellence, innovation, teamwork, and compassion. We invest in you with opportunities for career growth and development that align with your future goals and help to provide security for you and your family. Our highly competitive benefits package offers healthcare, PTO and paid holidays, merit increases and so much more that are all available on the day you start work.VETERANS:
We are honored to be a veteran friendly work environment that is home to hundreds of veterans. We value your integrity, dedication, and the commitment you have made to our country. We are proud to support your next mission. Ranked by Forbes as one of the Top 10 National Employers, we invite you to be a part of the UT Southwestern Medical Center team where you will discover teamwork, professionalism, and consistent opportunities for growth.Other details:
Shift: 8-hour daysThe preferred applicant lives in Texas, DFW area is preferred.EXPERIENCE | EDUCATION: REQUIRED:
Bachelor's degree in Business Administration, Health Care Administration, or other related fieldAnd eight (8) years management level experience in academic medical center, hospital environment or other relevant leadership experience.JOB DUTIES:
Develops, implements, monitors, and manages all aspects of Governmental Provider enrollment for UTSW's Medical Group.Manages communications to key stakeholders across UTSW to include Department leadership, Credentialing teams, Managed Care (MCO) team, and is critical to facilitating linkage between these teams; assuring the governmental provider enrollment processes act in-concert with Physician Hiring/Onboarding, Credentialing and Managed Care contracting.Oversees and participates in quarterly financial reviews and annual audits with internal and/or external auditors.Facilitates Quarterly campus wide meetings in conjunction with UTSW Credentialing Team and Southwest Health Resources group.Provides ongoing analysis as needed to Department Chairs and other members of the upper management team.Serves as key participant in system and process improvement projects that are sponsored by the Departments.Assists with providing ongoing revenue accounting oversight to the Finance and Accounting arm of the Medical Center and Clinics.Assists in the preparation of monthly management reports providing key revenue and operational metrics and analysis.Assists in optimizing financial systems and processes resulting in more efficient financial processes and controls to ensure the highest level of data integrity and accuracy.Interprets policies and regulations concerning department's financial activities, including university policies and procedures and Federal and State agency guidelines.Assists with developing written justification to support budget proposals, expenditure items, and financial policy matters.Ensures compliance with applicable laws, regulations, policies, and procedures.Performs other duties as assigned.KNOWLEDGE, SKILLS & ABILITIES:
Work requires exercise of judgment.Work requires proven leadership and communication skills and experience in business planning, financial analysis, and/or strategic planning.Proven leadership and communication skills.Work requires that incumbent be vested with final authority to make decisions within limits of established policies and practices.Work requires contact outside department or component which is related to resolution of problems of non-routine nature which require explanation of facts to effect establishment and/or revision of policies and programs or to obtain assistance of representatives of outside organizations to arrive at final determination.Work requires incumbent to determine methods or approaches to work problems.WORKING CONDITIONS:
Work is performed mostly in private office with almost complete absence of disagreeable working conditions.SECURITY:
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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