Vice President, Chief Revenue Cycle Officer

Sutter Health•Sacramento, CA

About The Position

Sutter Health is one of California’s most comprehensive healthcare systems and one of the nation’s largest, generating approximately $19.7 billion in revenues. Headquartered in Sacramento, Sutter Health is a not-for-profit, integrated healthcare system committed to health equity, community partnerships and innovative, high-quality patient care. Sutter’s 63K+ employees, 12,000+ physicians and clinicians, serve more than 3.6 million patients through its network of hospitals, medical foundations, ambulatory surgery centers, urgent and walk-in care centers, telehealth, home health and hospice services. The Vice President (VP), Chief Revenue Cycle Officer, provides strategic direction and oversight of the shared services revenue cycle operations for the Sutter Health System, including medical foundations, hospitals, home health, hospice, and Ambulatory Surgery Centers. This position is responsible for patient financial services, health information management, patient access, charge data master, revenue integrity, and clinical documentation integrity. In addition, the role will provide oversight to the service line agreement between R1 and Sutter Health, including facilitating the quarterly operational reviews.

Requirements

Significant experience managing all aspects of revenue cycle operations from initial patient contact through successful collection/reporting outcomes
Seasoned professional management experience in the healthcare financial services field, with a work record that demonstrates leadership in alignment with the core values of the organization and proven negotiating skills
Significant experience in revenue cycle-related healthcare provider-based design and optimization, consulting and project management
Experience reviewing and managing contracts, managing contractor/vendor relationships, establishing service level agreements, and monitoring delivery of services provided
Experience in estimating costs/benefits
Practical deploying Lean Six Sigma-based programs, implementing large, shared services or managing outsourced functions leading large-scale change efforts in implementing automated patient web portals, allowing patients to schedule appointments, update information, and pay bills online
Strong overall healthcare business knowledge/insight
In-depth knowledge of hospital operations
In-depth knowledge of finance functional operations, systems and sub-systems, particularly in the area of healthcare revenue cycle applications including billing, accounts receivable (AR) and cash management, patient registration, professional services coding compliance regulations and requirements managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, accounting, and industry standards for healthcare revenue resolution management practices
Knowledge should cover all areas of healthcare finance, including hospital, skilled nursing, physician and ambulatory/outpatient services
Strong knowledge of Finance/AR-related healthcare and reporting technology
Advanced knowledge of Microsoft Suite, particularly Excel
Knowledge of key healthcare industry financial performance/statistical indicators
Knowledge of eliminating process complexities with an objective of performance improvement/cost reduction
Deep understanding of developing a comprehensive/compelling business case
Knowledge of effective communication vehicles and practical applications
In-depth awareness of all applicable rules, regulations, and standards, particularly including current Medicare and Medi-Cal compliance requirements
Comprehensive knowledge of healthcare coding compliance requirements/issues
Familiarity with standard program/project management tools and techniques
Awareness of cultural considerations
Understanding of principles behind creating Sourced and Shared Services
Knowledge of Change Management methodologies and techniques
Awareness of large performance improvement-related programs across Sutter Health
Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing and financial reporting
Strong leadership skills to motivate cross-departmental teams’ performance towards excellence using team concepts and consensus-building management styles
Advanced/effective interpersonal, written/verbal communication and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background
Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/or agendas, leading to outcomes that meet identified goals
Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue cycle processes, regardless of whether issues originate in an area under direct or indirect control
Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbent’s direct authority
Ability to translate key performance indicator levels into a finance-based business case, then design, implement, and manage more effective/efficient processes
Ability to maintain a high level of positive energy/creativity during periods of elevated work demands
Ability to function effectively as a team leader and member, engaging others as appropriate
Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes
Advanced program/project management skills
Advanced skills in spreadsheet, project management, word processing and presentation software, preferably Microsoft Suite
Ability to develop and maintain effective relationships at all levels throughout the organization

Responsibilities

Provide strategic direction and oversight of the shared services revenue cycle operations for the Sutter Health System, including medical foundations, hospitals, home health, hospice, and Ambulatory Surgery Centers
Responsible for patient financial services, health information management, patient access, charge data master, revenue integrity, and clinical documentation integrity
Provide oversight to the service line agreement between R1 and Sutter Health, including facilitating the quarterly operational reviews

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