Talent.com
Director Process Improvement System

Director Process Improvement System

BMC SoftwareQuincy, MA, US
2 days ago
Job type
  • Full-time
Job description

Director Process Improvement System

Reporting directly to the Executive Director, Revenue Cycle Transformation, the Director, Process Improvement - System is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at the BMC and BUMG system, including the Community Hospitals. This will encompass but not limited to the implementation / management of all reporting / process improvement initiatives, AI development, and analytic tools to support data analysis, and operational excellence.

The Director, Process Improvement - System must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epics Slicer Dicer, and Cubes reporting technology, and will provide leadership and mentoring of managers / leads and other revenue cycle staff. The Director, Process Improvement - System will oversee the design, implementation, and operation of all enterprise revenue cycle reporting, analytic, and process improvement initiatives including AI. The Director, Process Improvement - System will also provide oversight to a team of managers and analysts to ensure that revenue cycle reliable metrics, reporting, analytics, and process improvement implementations are provided to BMC & BUMG system customers in a timely manner ensuring relevant information is encompassed to aid with decision-making and process change analysis.

The Director, Process Improvement - System will engage with leadership within the BMC System and third party vendors to ensure that reporting, analytic, and process improvement resources are optimally aligned to meet specific strategic needs of the System. The Director, Process Improvement - System will be a key contributor to the overall Revenue Cycle leadership team and will participate in planning and organizational improvement initiatives.

Essential Responsibilities / Duties :

  • Directs a team of 2 managers (and indirectly 4 analysts) with the intent to grow. Plans and directs the activities of the Process Improvement team as performed by the Managers & analysts. Responsible for recruitment, hiring, performance management, training, professional development
  • Coordinate internal and external resources to ensure that reasonable goals are established, adequate time is allotted to achieve optimal integration, and deadlines are met
  • Oversees reporting and analytic training to BMC & BUMG System staff
  • Responsible for the production and distribution of enterprise revenue cycle performance reporting; serves as a subject matter expert on data analytics
  • Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams
  • Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials
  • Oversee, implement, and maintain processes for analyzing aging for all payers, and identifies opportunities for accelerating cash and reducing AR >

90 days. Identifies trends denial / delay by payer

  • Oversee, implement, and maintain processes for analyzing payer denials, identifies and implements prevention opportunities for reducing denials and increasing revenue
  • Work with revenue cycle vendors to discover and document the root cause of any related risk management deficiencies and formulating and documenting corrective action plans and related monitoring and reporting to protect against occurrence of such failures.
  • Manages the prioritization efforts for analytics & reporting through the Revenue Cycle prioritization structure
  • Understands the evolving business and analytics needs at BMC, BUMG and at peer organizations within the system
  • Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset in the BMC and BUMG System should evolve
  • Plans, manages and oversees projects, utilizing recognized project management methodologies
  • Wherever possible, develops plans to reduce redundancy between hospital and physician billing.
  • Responsible for developing, reviewing, reporting, monitoring, and enhancing performance on matters pertaining to revenue cycle management
  • Oversees the creation of customized reports as requested by system leaders, and coordinates training for core users on reporting tools
  • Devises and recommends new or modified approaches to reporting to improve financial and statistical reporting
  • Leads projects outside original scope of work as needed to maintain a high performing revenue cycle
  • Performs other duties as assigned by the Executive Director, Revenue Cycle Transformation
  • Job Requirements :

    Required Education and Experience :

  • Bachelor's degree in finance, business, healthcare or related field; and at least 10 years' experience in finance, revenue cycle management, or information systems, of which at least 5 years must be leadership experience. Or equivalent combination of education and experience.
  • Experience within healthcare required
  • Preferred Education and Experience :

  • Master's degree
  • Knowledge, Skills & Abilities (KSAs) :

    Technical :

  • Demonstrated ability in Epic
  • Demonstrated super user ability in third party analytic applications
  • Comprehensive knowledge of accounting, finance and business administration, and a practical knowledge of patient financial billing regulations / requirements, reimbursement, and managed care in order to understand the billing systems; review, interpret, and analyze patient financial billing reports and data; and plan, coordinate and prepare for audits
  • Comprehensive understanding of patient billing policies, procedures and health insurance standards, as well as familiarity of supervisory / managerial techniques and principles, in order to control hospital financial billing activities
  • Project Management :

  • Strong demonstrated project management skills, from vision through implementation. Ability to manage multiple complex projects simultaneously
  • Ability to ensure work assignments for team are completed in accordance with an established project timeline
  • Ability to negotiate and acquire resources as necessary to appropriately execute on projects
  • Leadership :

  • Demonstrated leadership skills, with ability to work with multi-departmental teams and peers
  • Demonstrated ability to set vision and motivate stakeholders to realize the vision
  • Solid understanding of business environment and operations
  • Strong analytical, problem-solving and conceptual skills
  • Ability to be part of a cross-departmental and cross-functional team, and participate in the organization and execution of projects
  • Excellent oral and written communication skills
  • Ability to communicate effectively with both technical and non-technical people
  • Management :

  • Demonstrated ability to motivate staff to perform at the highest possible level
  • Demonstrated ability to set appropriate priorities for self and staff, and to delegate appropriately
  • Ability to manage effectively across multiple tasks and projects under time and resource constraints
  • Ability to carefully monitor processes, organize, and maintain documentation
  • Ability to take lead on projects outside original scope of work to maintain a high performing revenue cycle
  • Equal Opportunity Employer / Disabled / Veterans

    According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

    Create a job alert for this search

    Director Improvement • Quincy, MA, US

    Related jobs
    • Promoted
    Mission Integration Systems Technology Director

    Mission Integration Systems Technology Director

    RaytheonTewksbury, MA, US
    Full-time
    Technology Director For Mission Integration Systems.At Raytheon, the foundation of everything we do is rooted in our values and a higher calling to help our nation and allies defend freedoms and d...Show moreLast updated: 30+ days ago
    • Promoted
    Director Operational Excellence and Advance Manufacturing Engineering (AME)

    Director Operational Excellence and Advance Manufacturing Engineering (AME)

    Watts WaterNorth Andover, MA, US
    Permanent
    Director of Operational Excellence / Advance Manufacturing Engineering (AME).Together, we're reimagining the future of water. We feel proud every day about what we do.We're all part of the same cruc...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Application Engineering

    Director, Application Engineering

    Klaviyo Inc.Boston, MA, United States
    Full-time
    At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair sh...Show moreLast updated: 7 days ago
    • Promoted
    • New!
    Process Improvement Lead

    Process Improvement Lead

    CatalantBoston, MA, US
    Full-time
    As the pioneer of Consulting 2.Catalant gives the world's leading companies on-demand access to a community of highly vetted independent consultants and former operators. From individual consultants...Show moreLast updated: less than 1 hour ago
    • Promoted
    Director, Product Engineering

    Director, Product Engineering

    Bright Horizons Children's CentersNewton, MA, United States
    Full-time
    The Director of Application Development - Product Engineering will lead the development and engineering of mission-critical, center-facing applications that power the core of our business.This role...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Director, Enterprise Applications

    Senior Director, Enterprise Applications

    VertexJamaica Plain, MA, US
    Full-time
    Senior Director, Enterprise Applications.The Senior Director, Enterprise Applications will lead a team responsible for architecture, design, development, support, maintenance, and future roadmaps f...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Director : Head of Upstream Process Development

    Senior Director : Head of Upstream Process Development

    EPM ScientificBoston, MA, US
    Full-time
    Job Title : Senior Scientist / Engineer - Process Development & Upstream Manufacturing.Bio process Development / Manufacturing Sciences. Director of Process Development or Head of Manufacturing.We ...Show moreLast updated: 5 days ago
    • Promoted
    Director - AAV Process Development Research

    Director - AAV Process Development Research

    Eli LillyBoston, MA, US
    Full-time
    At Lilly, we unite caring with discovery to make life better for people around the world.We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work...Show moreLast updated: 18 days ago
    • Promoted
    Senior Director, G&A Systems

    Senior Director, G&A Systems

    Klaviyo Inc.Boston, MA, United States
    Full-time
    As the Senior Director of G&A Systems, you will be the strategic technology executive responsible for maturing and scaling the systems that form Klaviyo's corporate backbone.Reporting to the CIO, y...Show moreLast updated: 8 days ago
    • Promoted
    R&D Director

    R&D Director

    SigmaBedford, MA, US
    Full-time
    Director Of R&D Industrialization.We are seeking a highly experienced and results-driven Director of R&D Industrialization to lead the successful transition of innovative single-use technologies ...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Process Development Engineering

    Director of Process Development Engineering

    ZipRecruiterBoston, MA, United States
    Full-time
    Director of Process Development Engineering.This position is responsible for leading and empowering the Development Team in taking Company’s’ drug product candidates from formulation development th...Show moreLast updated: 2 days ago
    • Promoted
    Senior Director, Enterprise Applications

    Senior Director, Enterprise Applications

    Vertex PharmaceuticalsBoston, MA, United States
    Full-time
    KEY RESPONSIBILITIES : • • Work closely with Information Security, Internal Audit and Quality Assurance groups as needed to ensure compliance with Sarbanes-Oxley (SOX) and GxP regulations, as well as ...Show moreLast updated: 7 days ago
    • Promoted
    Director, Process Sciences

    Director, Process Sciences

    Alnylam PharmaceuticalsCambridge, MA, United States
    Full-time
    The Director, Process Sciences will be responsible for process development, optimization, scale-up and process characterization of drug candidates for platform delivery of oligonucleotide APIs.The ...Show moreLast updated: 18 days ago
    • Promoted
    Quality Director

    Quality Director

    Gilbane Building CompanyBoston, MA, United States
    Full-time
    US-RI-Providence | US-VA-Arlington | US-NC-Charlotte | US-GA-Atlanta | US-IL-Chicago | US-MA-Boston | US-PA-Philadelphia. Quality Assurance / Quality Control.This role ensures that construction prac...Show moreLast updated: 22 days ago
    • Promoted
    Senior Director, Process Chemistry

    Senior Director, Process Chemistry

    ArdelyxWaltham, MA, United States
    Full-time
    Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medic...Show moreLast updated: 10 days ago
    • Promoted
    Lead Director – Observability Engineering

    Lead Director – Observability Engineering

    Hispanic Alliance for Career EnhancementBoston, MA, United States
    Full-time
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...Show moreLast updated: 9 days ago
    • Promoted
    Business Process Director

    Business Process Director

    Analog DevicesWilmington, MA, US
    Permanent
    Business Process Director In Central Planning.ADI) is a global semiconductor leader that bridges the physical and digital worlds to enable breakthroughs at the Intelligent Edge.ADI combines analog,...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Process Sciences

    Director, Process Sciences

    AlnylamCambridge, MA, United States
    Full-time
    The Director, Process Sciences will be responsible for process development, optimization, scale-up and process characterization of drug candidates for platform delivery of oligonucleotide APIs.The ...Show moreLast updated: 4 days ago