Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means youâll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
The Continuous Improvement & Shared Services Revenue Cycle Insights Director will spearhead strategic data reporting and analytics to revenue cycle operations leaders. This leadership role focuses on identifying and providing critical insights to address root cause issues impacting A/R and metric performance, driving financial and operational improvement.
The director will lead and direct team efforts in conducting denials and write-off research, identifying trends, monitoring progress towards metric goals, and collaborating with operational leaders to drive shared accountability toward A/R and other KPI improvement. Additionally, the director is expected to provide innovative and strategic solutions to difficult or complex client situations, guiding cross-functional project teams, stakeholders, and senior leaders towards successful outcomes.
Key Job Duties
- Lead and direct comprehensive revenue cycle-wide processes, including but not limited to denials & write-off prevention, vendor management, data insights, and systems applications support teams.
- Provide strategic analysis and interpretation of critical revenue cycle data, identifying process improvement opportunities and monitoring performance against targets.
- Conduct risk assessments to achieve KPI targets, report identified risks to senior management and provide strategic recommendations for mitigation.
- Lead the coordination with operational leaders, managed care, vendor management, and other stakeholders to development of action plans aimed at achieving top decile metric performance.
- Oversee the development and management of A/R and performance improvement issues logs, quantifying the impact of improvement initiatives, and prioritizing solutions within a functional area.
- Provide operational leaders with strategic data and insights to drive targeted actions for metric improvement.
- Develop and present comprehensive status reports and action-oriented summaries for executive leaders across the system.
- Actively participate and co-lead metric and project calls with senior management and support staff.
- Create and deliver high-quality presentations and updates for senior leaders across the health system.
- Act as a liaison between data analytics and functional experts across the revenue cycle and health system to identify and drive forward measurable performance improvement.
- Develop, recommend, and oversee the implementation and administration of policies and procedures. Evaluate processes and procedures and coordinate with the management team to ensure areas of focus adhere to federal and local laws and regulations.
- Coordinate with IT to ensure continuous data availability and file needs.
Required Skills
- Proven analytical and critical thinking skills required to synthesize complex data sets and interpret qualitative and quantitative data and trends to implement recommendations resulting in measurable performance improvement and successful organizational change.
- Exceptional ability to create and deliver impactful presentations, tailoring messages for a variety of leaders and roles with the system.
- Proven capability to manage complex multi-workstream performance improvement projects while delegating and overseeing the work of junior team members.
- Impactful and professional written and verbal communication to set clear project team direction, develop key deliverables, escalate risks, and influence key stakeholders inclusive of client and internal senior leadership.
- Advanced knowledge of revenue cycle functions and payer denials with the ability to collaborate with team members and counterparts to understand business challenges, adapt implementation methodologies to ensure alignment with the clientâs business objectives.
- Extensive experience in building talent, training, supervising, coaching/mentoring, and performance management.
Core Qualifications
- Current permanent U.S. work authorization required.
- Bachelor's degree required.
- Limited travel required.
- Proficient in Microsoft Office (Word, PowerPoint, Excel).
- Extensive leadership experience.
- 8-10 years of healthcare operations leadership and/or consulting experience.
- Preferred Experience
- Relevant healthcare revenue cycle experience directing a department and/or team-based projects with a focus on performance improvement initiatives and change management, OR
- Project leadership and workplan management experience within a consulting firm setting with a focus on hospital or physician revenue cycle, and denials management.
- Experience managing both onshore and offshore staff.
Candidate Qualities
- Advanced knowledge of revenue cycle processes.
- Strong understanding of revenue cycle metrics and the levers that drive them in the patient access, patient financial services, and HIM/coding environment.
- Ability to design and apply conceptual models to business problems to understand issues and support with reporting and analytics.
- Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects, while delegating and overseeing the work of junior team members.
- Proven analytical and critical thinking skills required to synthesize complex data sets and interpret qualitative and quantitative data and trends to implement recommendations resulting in measurable performance improvement and successful organizational change.
- Impactful and professional written and verbal communication to set clear project team direction, develop key deliverables, escalate risks, and influence key stakeholders inclusive of client and internal senior leadership.
- Ability to collaborate with team members and client counterparts to understand business challenges, adapt implementation methodologies and approaches to ensure results align with the clientâs business objectives.
- Team leadership experience including building talent, training, supervising, coaching/mentoring, and performance management.
The estimated salary range for this job is $160,000 - $215,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huronâs annual incentive compensation program, which reflects Huronâs pay for performance philosophy and Huronâs benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.
Position Level
Director
Country
United States of America