This position is responsible for the direction and supervision of the Banner, Revenue Integrity Process Improvement and Analytics (RIA) function and team. The position provides a leadership role in evaluating Revenue Integrity dashboard measurement, outcome analysis and identification of trends, issues and improvement opportunities for revenue integrity related processes. Under the oversight of the Revenue Integrity Executive Oversight team, the RIA team will help identify, gather, evaluate, and assist with the design and implementation of Revenue Integrity related process improvement ideas in collaboration with facilities, finance, Revenue Cycle, Revenue Integrity and other Banner leaders.The position reports to Banners Revenue Integrity Senior Director and supervises the RIA department Senior Managers and analysts.
Directs the RIA team work as they evaluate submitted process improvement ideas, submitted personally or from others, to determine scope, root cause, operational impact, ROI opportunities and costs, and submits in a standardized proposal template for review by the Executive Oversight team. Proposals will seek to improve efficiency, effectiveness and best practice standardization of associated Revenue Integrity processes.
Meets with the Executive Oversight team to review submitted process improvement ideas to determine viability and prioritization for process redesign to address process gaps and create system-wide, standardized best practice Revenue Integrity work processes and solutions. Reports back to the Oversight team on progress and success of approved initiatives.
Makes assignments to RIA Senior Managers to lead individual process improvement initiatives to research, define, design and implement system-wide, standardized best practice Revenue Integrity work processes and solutions. Ensures coordination with other relevant system leaders in the research, define and design process as part of membership on the initiative team.
Directs staff in developing needed process improvement and implementation materials including communication, training, policies/procedures and monitoring to ensure successful implementation of the improvement solution.
Works as a visible and credible change agent with system and facility leadership to help build a culture that engages in complex problem resolution and process improvement.
Directs Revenue Integrity Sr Managers and support analysts in developing and implementing standardized approaches to analyze Revenue Integrity dashboards to identify process trends, issues, root causes and opportunities for improvement.
Regularly meets with facility C-suite and CFOs to ensure effectiveness of the RIA dashboard analysis work and recommendations to assist facility leadership in understanding their facility performance, challenges and needs for process improvement by addressing root cause process gaps.
Provides assistance, coordination and education on Revenue Integrity related issues to system leaders.
Requires a Masters degree in Business Administration, Finance or related field or equivalent experience.
Requires a proficiency level typically achieved with 4 years of leadership or consulting revenue cycle and revenue integrity experience and knowledge (patient billing/clean claims; health information management; etc.). Requires strong human relations, organizational, process improvement and project management and communication skills as well as demonstrated leadership skills.Must have advanced computer skills with strong working knowledge of IT systems, applications and functions from clinical and business perspectives. This position requires the understanding of patient billing systems and business processes in a highly complex environment. A strong working knowledge of government payer programs and reimbursement methodologies (CMS, AHCCCS, CHAMPUS) and of managed care programs is essential.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system incl...udes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many locations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.