Director, Revenue Cycle

Mayo Clinic•Rochester, MN

13h

About The Position

We are seeking a highly engaged, collaborative leader to strengthen the Revenue Cycle Payer Provider Coordination through disciplined analytics and proactive partnership with Payer Relations. This role monitors reimbursement performance, identifies and trends variances against contract and expected payment, and drives timely investigation, escalation, and resolution of payment issues. The ideal candidate translates complex reimbursement data into clear insights and action plans, aligns internal stakeholders and payer partners, and builds sustainable processes that improve accuracy, reduce leakage, and support strong payer-provider relationships. The Director reports to the Revenue Cycle Chair and may have Revenue Cycle Managers and other Revenue Cycle staff as direct reports in a multi-site, multi-specialty academic medical center Assures the integrity and stability of revenue and billing data and provides direction for complex business decision making for operations. Provides direction for complex business decision making for operations. Identifies, establishes and implements internal controls to ensure a compliant environment. Provides leadership in a team environment, teams functional and technical activities and changes. Participates in establishing the strategic direction of work teams or service lines incorporating an awareness of the internal and external environment. Provides direction and interprets revenue cycle key performance indicators with significant institutional impact Is recognized and relied upon to synthesize various subject matter expert inputs to formulate solutions and implement change for multi-disciplinary or complex technical issues. Coordinates the development of programs and processes for Revenue Cycle operational areas. Interprets and implements billing rules, regulatory compliance, policies and regulations. Stays abreast of emerging issues and risks and plans accordingly. Identify strategies that lead to improved financial performance and follow through on their implementation while preserving Mayo standards and minimizing the financial and legal risks to Mayo. Directs managers, reviews and interprets results of variable-sensitive business models and/or compliance or business operations. Participates in establishing an environment that leads to efficient Revenue Cycle operations and adheres to complicated and ambiguous billing rules and regulations (all payers). Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results. Spearheads change and leads others in implementation. Promotes effective change management practices. Initiates, leads and facilitates institutional workgroups or complex projects. Manages and prioritizes limited resources across multi-disciplinary, multi-site teams to maximize efficiency. Handles ambiguous situations in a productive and professional manner and leads others through such situations successfully. Travel required as assignments warrant. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Requirements

Bachelor degree with 10 years’ experience which includes at least 7 years in general leadership required.
Solid knowledge of Microsoft applications including Word, Excel, PowerPoint and Outlook.
Possess ability to apply broad knowledge to new circumstances to add value and perspective.
Exhibits a customer-service orientation; anticipates, understands and addresses customer needs in a timely manner.
Ability to establish a productive team-based work environment and collaborate effectively across multiple sites and functions.
Demonstrated communication and presentation skills.
Ability to lead or direct multiple complex projects and activities in an ambiguous environment.
Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.

Nice To Haves

Master’s degree preferred.
Broad expertise in healthcare management, healthcare operations, change management and systems preferred.
Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities.
Working knowledge of large revenue cycle systems preferred and medical record systems.
Healthcare Financial Management Association (HFMA) Certification Preferred.

Responsibilities

Monitors reimbursement performance, identifies and trends variances against contract and expected payment, and drives timely investigation, escalation, and resolution of payment issues.
Translates complex reimbursement data into clear insights and action plans, aligns internal stakeholders and payer partners, and builds sustainable processes that improve accuracy, reduce leakage, and support strong payer-provider relationships.
Assures the integrity and stability of revenue and billing data and provides direction for complex business decision making for operations.
Identifies, establishes and implements internal controls to ensure a compliant environment.
Provides leadership in a team environment, teams functional and technical activities and changes.
Participates in establishing the strategic direction of work teams or service lines incorporating an awareness of the internal and external environment.
Provides direction and interprets revenue cycle key performance indicators with significant institutional impact.
Synthesizes various subject matter expert inputs to formulate solutions and implement change for multi-disciplinary or complex technical issues.
Coordinates the development of programs and processes for Revenue Cycle operational areas.
Interprets and implements billing rules, regulatory compliance, policies and regulations.
Stays abreast of emerging issues and risks and plans accordingly.
Identifies strategies that lead to improved financial performance and follows through on their implementation while preserving Mayo standards and minimizing the financial and legal risks to Mayo.
Directs managers, reviews and interprets results of variable-sensitive business models and/or compliance or business operations.
Participates in establishing an environment that leads to efficient Revenue Cycle operations and adheres to complicated and ambiguous billing rules and regulations (all payers).
Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results.
Spearheads change and leads others in implementation.
Promotes effective change management practices.
Initiates, leads and facilitates institutional workgroups or complex projects.
Manages and prioritizes limited resources across multi-disciplinary, multi-site teams to maximize efficiency.
Handles ambiguous situations in a productive and professional manner and leads others through such situations successfully.