Manager, Revenue Cycle Market Operations

JOB DESCRIPTION

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Communicates metrics, performance, initiatives, dependencies to market finance officers, and concerns, priorities, other market updates corporate revenue cycle. Provides project management for system initiatives in the local market where market-based dependencies are present. Escalates market-based negative performance impacts when they differ from or have not been identified by system initiatives. Partners and leads performance improvement initiatives as needed to achieve revenue cycle related goals. Serves as revenue cycle subject matter expert of their local market(s) including trends, history, regulatory, etc.

Job Requirements:

Education and Work Experience:

• Bachelor's Degree or equivalent combination of education/related experience: Required
• Master's Degree: Preferred
• Five years' related experience: Preferred
• One year leadership experience: Preferred

Essential Functions:

• Builds and maintains relationships with the local market leadership and staff, including finance, patient access, care management, clinical documentation specialists, department leaders and physicians. Collaborates effectively with market leadership and staff. Helps manage market performance by acting as a coordination and collaboration point between system revenue cycle and assigned local market(s). Understands system revenue cycle trends and extrapolates them to local revenue cycle opportunities through data analytics, process observations, staff interactions and account reviews.
• Analyzes market revenue cycle data to identify further market-specific opportunities and root causes; partners with appropriate stakeholder(s) to improve performance. Manages performance against established revenue cycle performance metrics, including cash, accounts receivable, denials, avoidable losses and cost-to-collect. Collaborates with shared services team to drive performance improvement and helps to implement overall strategic initiatives in local market(s). Facilitates various, recurring revenue cycle performance meetings with key market and revenue cycle stakeholders. Meets regularly with the market financial officer(s).
• Acts as project manager for revenue cycle opportunities identified through regular performance meetings and helps implement improvements. Monitors market work queues and other work-in-process. Monitors market revenue and usage trends, coordinating with revenue integrity on solution implementation.
• Helps provide market staff, clinician and physician education pertaining to revenue cycle opportunities. Escalates payer revenue cycle issues through defined managed care escalation process. Escalates system optimization opportunities through defined IT governance and escalation process. Collaborates with market leadership to help achieve strategic and performance goals.
• Maintains current knowledge base of regulations and insurance contracts. Communicates system performance to market(s), and vice-versa, and helps knowledge share across markets. Helps execute system and other Adventist Health corporate goals locally.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

ABOUT US

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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