Regional Director Business Systems Configuration

CommonSpirit Health • Rancho Cordova, CA

17h • Remote

About The Position

Where You’ll Work Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service. Job Summary and Responsibilities As the Regional Director, Business Systems Configuration, you will oversee all aspects of the athenahealth IDX (aIDX) Practice Management System which supports all ambulatory practices for CA, NV and AZ business, and manages end to end revenue cycle functions for over 1,650 providers and $1 billion in net annual revenues. The Regional Director provides leadership on day-to-day supervision, guidance and direction to the Business Systems Configuration (BSC) Department, business system analysts, encounter submissions and the systems training team, collectively known as the aIDX System Support team. The Regional Director is a trusted advisor to CFO and senior leadership teams on business system knowledge and enhancements. The BCS department provides service to the organization in configuration and updating the aIDX system for Scheduling, Billing, and Managed Care Claims processing, maintenance and support of interfaces and third party applications supporting the athenhealth (aIDX) application, process flow updates and enhancements, and the training and professional development of staff. They serve as the escalation point for aIDX system, interfaces, and third party applications supporting the aIDX ecosystem.

Requirements

• 5 years of experience in an IT application support leadership role.
• Bachelors degree or equivalent work experience.
• Experience working with multiple business system processes and IT project experience.
• Experience managing multiple priorities and scope.
• Knowledge of Professional Billing and Managed Care Claims processing associated with Medical Groups and Foundations.
• Knowledge of professional operations and interdependencies with applications supporting the patient care operations and interdependencies with applications supporting the Process.
• Knowledge of data base management to ensure maximum data integrity, consistency, and usability.

Nice To Haves

• 5 years of experience leading the aIDX and/or EPIC application strongly preferred.
• Experience with, or strong knowledge of, ambulatory clinic workflows strongly preferred.
• Experience with change management preferred.

Responsibilities

• Provides supervision, guidance and direction to the all functional area of responsibilities. Builds teams that are focused on delivering results through effective coaching, and driving and maintaining employee engagement.
• Accountable leader for the implementation of processes for receiving and processing additions and updates to the aIDX application.
• Provides leadership and direction for a comprehensive managed care claims adjudication system, and claims examination and processing team for delegated health plans. Collaborates with various teams to ensure accuracy and appropriateness of claims payments to OOG providers and vendors. Ensures robust and timely encounter reporting for professional and hospital services for Quality/HCC/MIPS metrics to support financial awards.
• Directs configuration and updating the aIDX system for Registration/Scheduling, Billing (BAR) and Managed Care Administration/Financial Risk Manager (FRM). Accountable leader for the configuration, maintenance and support of interfaces and third party applications supporting the aIDX system configuration.
• Directs the processing, auditing, and accurate payment for all claims through all HMO plans for various medical groups and physician networks.
• Directs the training and deployment of training staff for the aIDX system to all Dignity Health Medical Foundation clinics for Registration/Scheduling and Revenue Cycle performance activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees