AVP CVBO Revenue Operations - REMOTE Opportunity

Leadership Opportunity At Steward Health Care

This position is with Steward Health Care Systems Centralized and Virtual Business Operations (CVBO). The role will provide leadership and guidance for the following departments within Revenue Operations : Revenue Integrity, CDM, Statistical and Reporting Analytics, Reimbursement and Financial Analysts, Managed Care Contracting (performance, payor report cards / escalations), Cash Collection / projections, Vendor Management (early out, bad debt, auditing), Revenue Systems Analysts. This role will have direct responsibility for ensuring standardization, efficiency and effectiveness of operations. The position will routinely interact with Senior Leadership Team (SLT) at Steward's Hospitals (38+), and will ensure effective communication between SLTs and National VP of CVBO. The position will be accountable for alignment of direct report departments within RCO alignment with regional and national company goals and initiatives. The AVP will serve as a change agent for those under their preview and will ensure that change is managed efficiently and effectively. The AVP of RCO will report to the National VP CVBO Revenue Operations and serves all facilities located in states.

Key responsibilities include :

• Establish, oversee and improve the Revenue Integrity Team (structure, performance standards)
• Manage the CDM Team to include CDM Standardization / Streamline Project 2022-2023, Implementation of new CDM for Florida Market in 2022 (Aug-Oct)
• Manage Reimbursement Analysts Team responsible for Medicare Cost Reporting, State Medicaid Reporting, Charity Reporting, CMS Auditing
• Manage Financial Analysts Team responsible for market / region financial reporting and data analytics to regional Presidents and Revenue Officers
• Manage Statistical and Reporting Analytics team responsible for Revenue Cycle Data (SQL, DR, Tableau) distribution, reporting standardization across enterprise
• Member of Managed Care Contracting Executive Team Committee responsible for delivery and advisement of MCC Payor Performance, Report Cards, Escalations, Predictive analysis informing Steward MCC of opportunities for upcoming contract negotiations
• Management of RCO Vendor Services (early out, bad debt, auditing)
• Management of Cash Collection Team responsible for posting all insurance and self-pay reimbursement. AVP responsible for working closely with National VP to assemble and report Cash Collection Projections for each region weekly
• Management of Revenue Systems Analyst Team responsible for maintenance of all CVBO system dictionaries, users, updates, access for applications critical to Revenue Cycle Operations (Patient Access, HIM / Coding, Billing, Collections)
• Maintain a working knowledge of Medicare and Medicaid regulations and requirements relevant to role
• Support the billing and collection model for the CVBO.
• Identify and target opportunities for measuring and reporting company, hospital, and market billing and collection outcomes
• Strategically plan (change management) for regulatory and technological changes and improvements and the effect on workforce, processes, etc.
• Ensure a process is in place to develop and revise necessary operational tools, processes, and policies to ensure the success and continued operational improvement of departments and teams that support the RCM and CVBO operations.
• Develop and maintain organizational structures to meet operational support needs.
• Ensure Corporate management is briefed and knowledgeable on threats, challenges, and issues in and surrounding RCM and CVBO operations in areas of responsibility.
• Involvement in payer relations, JOC, escalations associated with denials / payment delays
• Maintain real-time understanding and outlier-management of RCM KPI's (ex. DNFB, clean claim, initial denials, AR >

90, etc)

Required knowledge and skills include :

Education / experience / licensure / technical / other :

About Steward Health Care

Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.

Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas and Utah.