Director, Revenue Cycle Vendor Management (National, Remote)

The Opportunity

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.
Position Summary
Huron Managed Services is currently seeking a Director over Vendor Management to join Adventist Health's Centralized Services & Strategy team. The Manager will be a key player in significant Vendor Management initiatives including but not limited to management of vendor relationships, maintenance of vendor reporting, coordination on- and oversight of- vendor performance, implementation of vendor onboarding, analysis of vendor invoices, and RFP/RFI execution. Operational leaders will rely on this individual to manage a team dedicated to supporting the performance of the vendors providing services and solutions within the scope of Huron Managed Services' revenue cycle functions across Adventist Health.
Adventist Health partners with BlueLyte solutions for vendor reporting and performance management initiatives, and this individual will be responsible for coordinating closely with BlueLyte and holding them accountable to the expectations of their role. This role will require close coordination with stakeholders from revenue cycle departments that the vendors are providing services and solutions to (i.e. Payer Integration, Care Integration, Consumer Financial Experience), as well as IT, to ensure that all operational and technical matters related to enabling vendor success are addressed in a timely and effective manner.Qualifications

Education

• Bachelor's degree, preferably in business administration or a related health care field

Required Experience

• At least five years of revenue cycle experience, ideally with focus in patient accounting and other back-end processes
• At least three years of reporting/analytics experience utilizing revenue cycle solutions
• At least three years of supervisory experience
• At least three years of working with revenue cycle vendors (i.e. insurance billing & collections, early out, bad debt, third-party liability, worker's compensation, Medicaid eligibility, etc.)

Preferred Experience

• Three years of experience with Cerner Millennium, including Registration, Patient Financial Clearance, HIM/Coding, and Patient Accounting
• At least one year of leadership experience in a multi-facility, integrated health care delivery system or consulting experience

Technical Requirements/Proficiencies

• Possesses strong operational understanding of revenue cycle processes
• Knowledge of healthcare industry issues and trends including:
  • Hospital and professional billing processes and reimbursement
  • The appeals process for Medicare, Medicaid, and Medi-Cal
  • Insurance protocols, delay tactics, systems, and workflows
• Strong understanding of revenue cycle metrics and the levers that drive them in the patient access, patient financial services, and HIM/coding environment
• Strong communication skills and ability to effectively manage relationships at the Director/VP level and above with both internal and external stakeholders
• Understands contract language and able to negotiate terms with both internal and outside counsel
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel

Candidate Qualities

• Ability to design and apply conceptual models to business problems to understand issues and support with reporting and analytics
• Develops strong relationships with management at the senior level
• Strong team management skills and internal team coordination
• Ability to navigate conversations between operational needs and technical capabilities
• Excellent in quantitative analysis and communication - understands how to communicate results clearly and efficiently
• Ability to manage multiple initiatives across multiple vendors while maintaining sound prioritization
• Demonstrates critical, analytical thinking in all aspects of the job - technical and non-technical
• Strong attention to detail and organizational skills
• Excellent with verbal and written communication

ESSENTIAL DUTIES, TASKS, AND RESPONSIBILITIES

Team Responsibilities

• Oversee and manage a team whose responsibilities include:
  • Facilitates ad hoc and recurring calls with revenue cycle services and/or solutions vendors, including those led by a third-party vendor management firm working on behalf of Adventist Health. Coordinates with patient financial services and other departments (patient access/pre-services, HIM/coding, etc.) on maintenance or optimization of vendor operating guidelines and workflows.
  • Assists with management of vendor relationships on behalf of Adventist Health and in coordination with key vendor contacts. Coordinates with IT on maintenance or optimization of technical workflows and triaging of ad hoc technical issues.
  • Completes quality audits for vendors where work set is applicable to the use of third-party quality reviews. Develops, optimizes and distributes performance reports for vendors not managed by a third-party vendor management firm.
  • Reports on risks, barriers, accomplishments and progress to vendor management leadership and other departments on both a recurring and ad hoc basis.
  • Facilitates or assists with the onboarding of new vendors, including coordination on workflow development and establishment of the IT infrastructure.

Candidate Duties and Responsibilities

• Manage a team of CSS VM Analysts while overseeing vendor relationships
  • Management of various forums (both including and excluding BlueLyte) to maintain accountability of the Analysts and BlueLyte in their core objective of driving and supporting vendor performance
• Represent CSS Vendor Management in designated leadership forums
• Participate in revenue cycle management and Cerner meetings/forums to help drive CSS Vendor Management operational and technical initiatives
• Coordinate with CSS Performance Improvement on special projects or acquisitions initiatives requiring evaluation of new or existing vendors
• Coordinate with CSS IT-Business Analytics on distribution of- and changes to- vendor report sets leveraging BlueLyte's ARCASIS reporting
• Maintain system-wide accountability for adherence to vendor sourcing, evaluation, and onboarding efforts as outlined in the 'CSS Vendor Management Toolkit'
• Manage centralized repository of system-wide vendors and related contract terms
  • Coordination with CSS and HMS revenue cycle leaders when contracts are set to expire or auto-renew to confirm continuation or replacement of vendor(s)
• Escalate vendor replacement or consolidation opportunities to CSS and HMS revenue cycle -leaders to facilitate decision and/or evaluation process

ADDITIONAL INFORMATION

Job Function

• Vendor Management

Employment Type

• Full time

Location

• The applicant must be eligible to work in the United States and does not require sponsorship
• The applicant will either be located in Roseville, CA or work remote 100% of the time
• The applicant will manage a team that works remote 100% of the time

Physical Demands

• Desktop use may require extensive sitting periods

Seniority Level

• Director

Salary and Benefits

• Full-time salary with company benefits package (health, dental, 401k match, etc.)
• This field should align with FLSA status
• This field may borrow company-wide benefits information

The estimated salary range for this job is $120,000 - $160,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy and Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.
Posting Category
HealthcareOpportunity Type
RegularCountry
United States of America