Vice President, Revenue Cycle
1 day ago
Emeryville
Job Description: The Vice President Revenue Cycle is a core member of the UCSF Health leadership team, responsible for the strategic revenue cycle management to drive optimal performance and support finance objectives. Accountable for the management and operation of the revenue cycle for UCSF Health which includes UCSF Health Enterprise including the Adult Academic Medical Centers, Benioff Children's Hospitals, the Ambulatory Business Unit including Provider Practices, The Community Hospitals, and Affiliate Networks. Responsible and accountable for all aspects of UCSF Health revenue cycle including compliance with UCSF standards and outside regulatory and accreditation agencies. Scope of oversight includes Patient Financial Services, Medical Group Business Services, Patient Access, Inpatient and Outpatient Facility and Professional Coding, Revenue Cycle Quality, Education, and Performance Improvement, and Research Revenue Cycle. As a member of the senior management team, the VP leads executives in establishing strategy and objectives for improving health system financial performance. Plays a key role in the strategic direction, goal setting and performance management of the revenue cycle. Builds consensus and engages with a broad stakeholder group including medical staff, hospital leadership, and medical group leadership to design, implement, and maintain a high performing and metric driven institutional revenue cycle. Directs large, multi-dimensional initiatives collaborating across entities and departments. Accountable for aligning revenue cycle operations across UCSF and reporting on key metrics. Takes responsibility for the accuracy and underlying drivers of revenue cycle information and reports. Serves as a senior advisor to leaders, providing financial information for decision-making. Reports to UCSF Health's Senior Vice President Finance and Chief Financial Officer. The VP Revenue Cycle ensures a high level of financial coordination between the UCSF Health Leadership, and other joint ventures and affiliates. Works in close collaboration with Business Unit Chief Financial Officers and Controllers as well as leaders in Government Reimbursement, Health Information Management, Revenue Integrity, Managed Care Contracting, Compliance, Information Technology Case Management, and others. This position presents and interprets financial information on a regular basis to Senior Management, UCSF Health Committees, and Governance Boards. Responsibilities of the Vice President Revenue Cycle span the enterprise and require constructive relationships with all UCSF leadership, affiliate partners and outside agencies. This is a senior leadership position that requires a proven background leading healthcare revenue cycle functions, with a strong understanding of hospital operations. Expected to successfully interact, negotiate and build UCSF Health relationships, programs and partnerships with an extremely high degree of autonomy. Recognized as an influential leader that strategically manages change through business planning and program execution to achieve broad initiatives. Department Description: The UCSF Health System brings clinical service capabilities into a unified management structure under 4 Business Units, achieving strategic, operational and financial alignment between the School of Medicine, and UCSF Health as well as affiliates and joint ventures. Its structure streamlines decision-making, strengthens the ability to act with one voice, and ensures accountability at every point to execute collectively agreed upon commitment to excellence and efficiency. The UCSF Health System's vision is to provide innovative, high quality, cost-competitive clinical services, and deliver an unparalleled patient experience across the entire care continuum. 005798 % of timeEssential Function (Yes/No)Key Responsibilities (To be completed by Supervisor) Collaborates with executive leadership to identify opportunities for improving cash flow Develops and executes business plans to maximize revenue cycle performance utilizing information technology and innovative practices Directs central billing office ensuring multi-entity system integration Leads efforts to design, develop, and implement integrated systems that ensure accurate capture, control and reporting of patient account data Ensures soundness of systems Provides executive leadership and guidance to revenue cycle staff Provides ongoing mentorship to subordinate leaders Ensures access to relevant professional development opportunities Develops succession planning pipeline for revenue cycle leadership Works with executive leadership to set revenue cycle standards and develop performance goals Establishes revenue cycle organizational structure to accomplish goals and facilitate growth Introduces innovations to maximize revenue cycle operations Leads meetings with physicians, practice operations, revenue cycle management and executive leadership Applies advanced expertise to advise executive leadership on state-of-the-art systems, industry trends and developments that inform the direction of revenue cycle activities Maintains knowledge of all applicable regulations and standards to ensure compliance with orders or directives issued by governmental / regulatory agencies or third party payors Promotes a collaborative, service-oriented culture Fosters open communication and innovation among staff Required Qualifications: • Bachelor's degree in related field, • Minimum seven (7) to ten (10) years of senior leadership experience overseeing healthcare revenue cycle functions, • Demonstrated experience optimizing operations and performance for revenue management and reimbursement, • Tested and proven executive with background in leading business and strategic planning, organizational development/reorganization, productivity improvement and cost management, • Expert knowledge of healthcare revenue cycle operations, concepts, and policies with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture, • Advanced knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management to identify trends, produce reliable forecasts and projections, • Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; staffing and financial reporting skills, • In addition to healthcare finance and revenue cycle expertise, a wide breadth of health system operational knowledge is required to succeed in the role, • Demonstrated strong understanding of hospital operations is crucial, • Must be able to apply wide ranging understanding of clinical finance and health system operations to think critically and identify areas for improvement, • Requires a big picture perspective of how a health system operates in order to think strategically about how to integrate revenue cycle services, improve insight into financials and maximize profitability, • Applies broad hospital operational knowledge, revenue cycle expertise, and strategic thinking to advise health system leaders and integrate revenue cycle functional units across the organization, • Advanced change management skillset and collaborative approach is necessary to centralize revenue cycle under a unified structure, • Expert skills in developing and implementing strategic plans, evaluating and developing staff competencies, organizing department operations, and leading fiscal management, • Highly advanced critical-thinking, facilitation, and problem-solving skills with ability to develop and apply innovative solutions, • Strong business acumen and analytical skills, demonstrated experience developing and implementing operating plans, analyzing financial and operational data, • Demonstrates a leadership style that builds and maintains a climate of trust and inspires commitment from others to achieve organization goals, • Highly advanced leadership skills, with the ability to foster teamwork and collaboration across departments for effective problem solving, conflict resolution, and consistent achievement of objectives.. Remains professional and calm under pressure, • Consistently demonstrates and encourages a commitment to quality, customer-centeredness, productivity and continuous improvement, • Expert ability to collaborate with executives to centralize operations and develop and implement long-term objectives and strategic plans, • Advanced organization skills. Recognizes the need for change; adapts to, and causes others to adapt to values, strategies, goals and plans in response to changing business conditions, • Proven ability to manage projects and execute strategic plans is required, • Solves problems from various points of view and make difficult decisions, • Generates and encourages creative ideas, innovative thinking and imaginative solutions to issues or problems, • Outstanding interpersonal and communications skills to motivate, influence, persuade, • Consistently interacts with all members of the organization in ways that enhance understanding, respect, cooperation and problem solving, • Highly advanced knowledge of information technology specific to healthcare revenue cycle management and related functions, • Advanced knowledge of clinical, financial, and business information technology software, hardware, tools, techniques, and systems, • Successful experience working with confidential and sensitive matters, • Ability to accomplish results and effectively integrate functions with business plans, • Ability to develop and maintain critical relationships across a diverse population Preferred Qualifications: • Master's degree preferred Required Qualifications: • Bachelor's degree in related field, • Minimum seven (7) to ten (10) years of senior leadership experience overseeing healthcare revenue cycle functions, • Demonstrated experience optimizing operations and performance for revenue management and reimbursement, • Tested and proven executive with background in leading business and strategic planning, organizational development/reorganization, productivity improvement and cost management, • Expert knowledge of healthcare revenue cycle operations, concepts, and policies with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture, • Advanced knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management to identify trends, produce reliable forecasts and projections, • Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; staffing and financial reporting skills, • In addition to healthcare finance and revenue cycle expertise, a wide breadth of health system operational knowledge is required to succeed in the role, • Demonstrated strong understanding of hospital operations is crucial, • Must be able to apply wide ranging understanding of clinical finance and health system operations to think critically and identify areas for improvement, • Requires a big picture perspective of how a health system operates in order to think strategically about how to integrate revenue cycle services, improve insight into financials and maximize profitability, • Applies broad hospital operational knowledge, revenue cycle expertise, and strategic thinking to advise health system leaders and integrate revenue cycle functional units across the organization, • Advanced change management skillset and collaborative approach is necessary to centralize revenue cycle under a unified structure, • Expert skills in developing and implementing strategic plans, evaluating and developing staff competencies, organizing department operations, and leading fiscal management, • Highly advanced critical-thinking, facilitation, and problem-solving skills with ability to develop and apply innovative solutions, • Strong business acumen and analytical skills, demonstrated experience developing and implementing operating plans, analyzing financial and operational data, • Demonstrates a leadership style that builds and maintains a climate of trust and inspires commitment from others to achieve organization goals, • Highly advanced leadership skills, with the ability to foster teamwork and collaboration across departments for effective problem solving, conflict resolution, and consistent achievement of objectives.. Remains professional and calm under pressure, • Consistently demonstrates and encourages a commitment to quality, customer-centeredness, productivity and continuous improvement, • Expert ability to collaborate with executives to centralize operations and develop and implement long-term objectives and strategic plans, • Advanced organization skills. Recognizes the need for change; adapts to, and causes others to adapt to values, strategies, goals and plans in response to changing business conditions, • Proven ability to manage projects and execute strategic plans is required, • Solves problems from various points of view and make difficult decisions, • Generates and encourages creative ideas, innovative thinking and imaginative solutions to issues or problems, • Outstanding interpersonal and communications skills to motivate, influence, persuade, • Consistently interacts with all members of the organization in ways that enhance understanding, respect, cooperation and problem solving, • Highly advanced knowledge of information technology specific to healthcare revenue cycle management and related functions, • Advanced knowledge of clinical, financial, and business information technology software, hardware, tools, techniques, and systems, • Successful experience working with confidential and sensitive matters, • Ability to accomplish results and effectively integrate functions with business plans, • Ability to develop and maintain critical relationships across a diverse population Preferred Qualifications: • Master's degree preferred, • Experience in Academic Medical Center and Funds Flow environments