Director Process Improvement System

Boston Medical Center-posted 3 months ago
Full-time • Senior
Quincy, MA
1,001-5,000 employees
Hospitals
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Reporting directly to the Executive Director, Revenue Cycle Transformation, the Director, Process Improvement - System is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at the BMC and BUMG system, including the Community Hospitals. This will encompass but not limited to the implementation/management of all reporting/process improvement initiatives, AI development, and analytic tools to support data analysis, and operational excellence. The Director, Process Improvement - System must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epics Slicer Dicer, and Cubes reporting technology, and will provide leadership and mentoring of managers/leads and other revenue cycle staff. The Director, Process Improvement - System will oversee the design, implementation, and operation of all enterprise revenue cycle reporting, analytic, and process improvement initiatives including AI. The Director, Process Improvement - System will also provide oversight to a team of managers and analysts to ensure that revenue cycle reliable metrics, reporting, analytics, and process improvement implementations are provided to BMC & BUMG system customers in a timely manner ensuring relevant information is encompassed to aid with decision-making and process change analysis.

  • Engage with leadership within the BMC System and third party vendors to ensure that reporting, analytic, and process improvement resources are optimally aligned to meet specific strategic needs of the System.
  • Direct a team of 2 managers (and indirectly 4 analysts) with the intent to grow. Plan and direct the activities of the Process Improvement team as performed by the Managers & analysts.
  • Coordinate internal and external resources to ensure that reasonable goals are established, adequate time is allotted to achieve optimal integration, and deadlines are met.
  • Oversee reporting and analytic training to BMC & BUMG System staff.
  • Responsible for the production and distribution of enterprise revenue cycle performance reporting; serve as a subject matter expert on data analytics.
  • Serve as a member and act as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams.
  • Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials.
  • Oversee, implement, and maintain processes for analyzing aging for all payers, and identify opportunities for accelerating cash and reducing AR >90 days.
  • Oversee, implement, and maintain processes for analyzing payer denials, identify and implement prevention opportunities for reducing denials and increasing revenue.
  • Work with revenue cycle vendors to discover and document the root cause of any related risk management deficiencies and formulate and document corrective action plans.
  • Manage the prioritization efforts for analytics & reporting through the Revenue Cycle prioritization structure.
  • Understand the evolving business and analytics needs at BMC, BUMG and at peer organizations within the system.
  • Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset in the BMC and BUMG System should evolve.
  • Plan, manage and oversee projects, utilizing recognized project management methodologies.
  • Develop plans to reduce redundancy between hospital and physician billing.
  • Responsible for developing, reviewing, reporting, monitoring, and enhancing performance on matters pertaining to revenue cycle management.
  • Oversee the creation of customized reports as requested by system leaders, and coordinate training for core users on reporting tools.
  • Devise and recommend new or modified approaches to reporting to improve financial and statistical reporting.
  • Lead projects outside original scope of work as needed to maintain a high performing revenue cycle.
  • Perform other duties as assigned by the Executive Director, Revenue Cycle Transformation.
  • Bachelor's degree in finance, business, healthcare or related field.
  • At least 10 years' experience in finance, revenue cycle management, or information systems, of which at least 5 years must be leadership experience.
  • Experience within healthcare required.
  • Master's degree.
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