Kaiser Permanente Director, Revenue Cycle Solutions Design & Analytics - Rockville, MD in Rockville, Maryland
The Director, Solutions Design and Analytics is a key leader within the organization that provides resources to support Revenue Cycle process improvement, analytics, operational controls compliance, project management and revenue integrity. This position reports directly to the Executive Director, Revenue Cycle.
Essential Responsibilities: - Provides project management expertise and resources to support major concurrent projects from conception through final implementation that are targeted toward specific revenue cycle improvements. - Using operational and technical industry experience, directs resources to perform the necessary data gathering and analysis to identify areas of charge capture opportunity, and leads or participates in cross-functional work teams tasked with closing the gaps. - Advises revenue cycle business partners on local and national projects that require a detailed understanding of revenue cycle work flows and systems. - Consults and coordinates with other operations managers, clinicians, and health plan managers, to address issues that impact revenue cycle effectiveness. - Oversees SOX control monitoring and auditing strategy for Patient Financial Services. - Directly leads a team of project managers, analysts and process improvement professionals that provide support to the overall revenue cycle work effort.
Qualifications: Basic Qualifications: Experience - Minimum ten (10) years of project management experience managing large and complex projects required. - Minimum five (5) years of management or director experience level at a large, complex organization, including experience leading teams and managing strategic initiatives required. - Minimum five (5) years of healthcare provider billing and collections (including health insurance claims processing) experience required. Education - Bachelor's degree in business management/finance, health care administration or other related degree required. License, Certification, Registration - N/A
Additional Requirements: - Advanced knowledge of common healthcare industry patient accounting platforms, and electronic health records. - Advanced knowledge of Microsoft Office tools, such as Word, Excel, Power Point and Visio. - Excellent written and oral skills required. - Familiarity with health insurance laws and regulations. - Familiarity with revenue cycle information systems.Proven leadership skills that include influencing, efficiency and collaboration with a focus on results orientation, and the ability to recruit talent and develop teams. - Demonstrated understanding of the operations and/or business of Healthcare System, revenue cycle management, especially the functional areas of billing, collections and bad debt, payment processing, denial management and accounts receivable. - Thorough knowledge of complex project management processes, tools, techniques and methodologies to lead large scale efforts.
Preferred Qualifications: - Experience with Epic Resolute and KRONOS systems preferred. - Master's degree - Certified Project Management preferred. - Familiarity with health insurance laws and regulations preferred. - Demonstrated excellent analytical and communications skills preferred. - Successful implementation of Lean or Six Sigma principles in a healthcare setting
COMPANY Kaiser PermanenteTITLE Director, Revenue Cycle Solutions Design & Analytics - Rockville, MDLOCATION Rockville, MDREQNUMBER 622222
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.