Vice President - Revenue Advisory Services

Luminis Health • Annapolis, MD

21h

About The Position

The Vice President of Revenue Advisory Services is responsible for the reimbursement function of the System. The position is accountable for strategic rate setting and revenue advisory services to System Chief Financial Officer, and is accountable for financial reimbursement analyses, charge capture and charge master procedures, HSCRC and CMS regulatory reporting including Pay for Performance and Quality Based Reporting, Payor Contracting and financial analysis of Value-based care arrangements.
The Vice President is also responsible for the establishment of goals, objectives, and standards of performance; development and implementation of operating policies and procedures; interpretation and insurance of compliance with relevant policies and procedures, standards, regulations and codes to personnel.

Requirements

• Bachelor’s Degree from an accredited college or university in Accounting, Finance, or related field. Master’s in business administration is preferred.
• Ten years progressively responsible professional HSCRC or CMS reimbursement experience, or equivalent, is required. In addition, eight years supervisory/management experience is required.
• Expert knowledge of HSCRC and Medicare regulations is required.
• Highly proficient mathematical and analytical skills are required. Proficiency in analyzing and presenting strategic and financial information to the highest levels of the organization.
• Ability to operate a personal computer and utilize Microsoft Office products.
• Proficient knowledge of supervising, monitoring daily work activities, evaluating, training and motivating the performance of professional support staff.
• Proficient organization and problem-solving skills are required to develop/implement efficient work processes, and to resolve difficult, conflict-oriented situations. Ability to work effectively in a stressful work environment. Ability to handle confidential issues with integrity and discretion.
• Highly effective verbal and written communication skills are necessary to work with senior management, state rate regulators, federal regulators and clinical and financial department heads.

Responsibilities

• Oversees the operations of the department while applying hospital policies and procedures as well as federal, state, and local statues or regulations governing general financial practices to ensure accurate and effective service.
• Provides reimbursement and revenue strategic advisory services to System CFO:
• Accountable for and leads the rates and reimbursement function for all System hospitals:
• Accountable for monitoring, reporting and driving performance of the Revenue Cycle Management Function for the System.
• Accountable for development and implementation of Payor strategies to maximize payments for contracted services
• Utilizing expertise in current regulatory (HSCRC & CMS) information/guidelines to maximize strategic outcomes; communicates relevant changes and/or protocol and procedural revisions to senior management and staff. Implements appropriate departmental operational changes to ensure compliance.
• Accountable for communicating strategic and financial information to the highest levels of the organization including the Board of Trustees and senior management.

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more

What This Job Offers

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