Revenue Cycle Service Delivery Director - Clinical Denials

Huron • Chicago, IL

21h • Remote

About The Position

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 you’ll 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 Director RCM Service Delivery will lead global teams delivering RCM Huron Managed Services (HMS) for our clients. The Direct will implement best practice revenue cycle management, ensuring compliance with regulatory requirements to meet our client’s needs and objectives. Directors are responsible for participating in business development activities by developing strong, lasting trusted advisor business relationships with clients that lead to positive references and follow-on work. This role will lead, coach, and manage performance for multiple direct reports and project teams. The Director will create an environment in which all team members can be successful by removing barriers, providing supports, and monitoring performance.

Requirements

• Bachelor’s degree required.
• Registered Nurse with an active license preferred
• 8-10 years of experience in revenue cycle management with specific utilization management and/or Clinical denials-appeal management experience
• 2+ years direct clinical experience in nursing, care management, or provider
• Proven leadership experience, with the ability to manage and motivate global teams.
• Strong and broad understanding of Revenue Cycle Operations within a hospital and physician setting.
• Exceptional negotiation and problem-solving skills.
• Excellent communication and interpersonal abilities.
• Proficiency in data analysis and reporting tools.
• Limited travel required.
• Current permanent U.S. Work Authorization required.

Responsibilities

• Independently, lead and direct multiple complex projects and revenue cycle functions by directing and leading, not necessarily doing.
• Identify, create, drive and deliver innovative service strategies and tools to ensure service level agreements are achieved at each client.
• Prepare client partnership reports and create presentations to clients and engagement staff that demonstrate full command of revenue cycle material.
• Manage day-to-day client relationships and maintain strong client relationships to expand current engagements and identify new business, and cross-selling opportunities.
• Ensure all project teams comply with industry regulations and Huron’s internal standards, maintaining accountability across vendor, coding, and centralized business functions.
• Lead and manage a diverse team of professionals on large complex engagements by fostering a collaborative team culture.
• Play a key role in the retention, professional development and performance management of staff including mentoring, coaching and recruiting.
• Collaborate with sales leaders to support key client pursuits and actively participating in client credentialing and reference coordination.
• Partner with leaders to create differentiated RC solutions that meet evolving client needs.

Benefits

• medical, dental and vision coverage
• 401(k) plan with a generous employer match
• employee stock purchase plan
• generous Paid Time Off policy
• paid parental leave
• adoption assistance
• free annual health screenings and coaching
• bank at work
• on-site workshops
• ongoing programs recognizing major events in the lives of our employees throughout the year

What This Job Offers

• Job Type: Full-time
• Career Level: Director