Career Opportunities
Career Opportunities
Job Title: Revenue Management Consultant
Organization/Company: Trinity Health - Unified Revenue Organization
POSITION PURPOSE
Provides managerial direction, leadership, consultation and expertise in the delivery of large and highly visible project initiatives for an operational area of revenue management for the Unified Revenue Organization (URO) in Trinity Health. Manages, oversees and coordinates multiple multi-functional/interdisciplinary teams, provides technical specialized leadership and guidance in directing projects and managing deliverables, and serves as an escalation point in the resolution of significant project issues and removal of project barriers. Work assignments are considered ‘stretch’ and involve critical relationship, collaborative and consensus building skills in interfacing with numerous executive leaders, key stakeholders, high level professionals and decision makers. Provides broad based knowledge and experience in multiple operational areas of revenue management and serves as an authoritative resource in an area of specialization, field of concentration or discipline in the performance of highly complex analysis, issue resolution, and in the development and implementation of technical standards, methods, policies and processes. Project work is strategic and reflects a UEM wide scope and impact and requires the ability to lead, facilitate and drive change management and process improvement techniques and methodologies. Responsible for initiating activities beyond job scope and developing alternatives in response to short and long term business needs. Work assignments are highly complex and require significant management and/or consulting knowledge and experience in order to plan, coordinate, influence and control the activities of others, as well as integrate activities that are relatively homogenous or diverse in nature. (Given the significance of the level, scope of responsibility, authority and impact, the senior role is not to be heavily populated and is intended to be relegated to one position per assigned functional area.)
MINIMUM QUALIFICATIONS
Bachelor’s degree in Business Administration, Finance, Accounting, Informatics or related field or an equivalent combination of education and related experience. Extensive revenue management knowledge and experience. Requires a breadth and mastery of technical and business knowledge in multiple disciplines/processes. Ten (10) to fifteen (15) years of progressively responsible operational (management), project management, consulting or relevant professional experience in revenue management (e.g., reimbursement, payer contracting, decision support, health information management, patient financial services). Ability to manage multiple large multi-functional/interdisciplinary and highly visible projects having a system-wide scope of responsibility and impact. Demonstrated increases in operational management or project management leadership experience. Reasonable knowledge of project plans development, workflow analysis and change management/process improvement methodologies. Excellent leadership, analytical, organization, integration and executive skills and abilities. Extensive knowledge of and experience in project plan development, workflow analysis, and managing complex process improvement/change management projects. Ability to drive change and positive results and respond to difficult situations with ease. Extensive experience planning, formulating and executing strategies. Ability to identify, evaluate and demonstrate operational opportunities, business needs and recognize the interests of executive leaders, key stakeholders and decision makers. Excellent interpersonal, consultative, relationship and consensus building skills in order to effectively lead and facilitate multi-functional teams and develop collaborative partnerships with executive leaders, key stakeholders and decision makers. Excellent planning, evaluative, organizing and problem solving skills in order to integrate activities that are relatively homogenous or diverse in nature. Ability to influence results, garner support and tactfully manage complex relationships across the URO UEM. Ability to read the subtle nuances of situations and react/plan accordingly. Demonstrates superior oral and written communication skills. Ability to facilitate communications between diverse groups. Ability to effectively identify, assess and facilitate improvements and solutions and present advisory and persuasive recommendations. Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement/change management support and specific revenue management function. Ability to develop appropriate methods to collect, analyze and report data. Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point, Access and Visio) and standard project management software (i.e., spreadsheets, databases, graphics, presentation tools, etc.). Must possess deep analytical, quantitative, evaluative and problem solving skills. Strong attention to detail and organizational skills. Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments. Ability to work independently and with minimal supervision. Ability to work in a team environment providing support to multiple positions. Demonstrated ability to respect confidential and sensitive information, understanding and honoring lines of accountability and communication is essential. Ability to operate in an ambiguous and matrix organizational structure. Ability to operate in a highly autonomous self-directed manner and to effectively responds to multiple, ever-changing competing priorities. Must be comfortable operating in a collaborative, shared leadership environment.
Application Procedure: Trinity Health offers a comprehensive benefits package including medical, dental, vision, 403(b), paid time off, FSA, STD, LTD, life insurance, pension, and tuition reimbursement.
FOR MORE INFORMATION ON TRINITY HEALTH, AND TO APPLY ONLINE, GO TO: http://www.trinity-health.org/Careers/CareerOpportunities/THCareerOpportunities/index.htm
Contact: www.trinity-health.org
Date Posted (mm/dd/yyyy): 07/23/2010
Expiration Date (mm/dd/yyyy): 08/23/2010
Job Title: Financial Analyst (Sr. Revenue Management Analyst)
Organization/Company: Trinity Health - Unified Revenue Organization
POSITION PURPOSE
MINIMUM QUALIFICATIONS
Bachelor’s degree in Business Administration, Finance, Accounting, Informatics or related field or an equivalent combination of education and related experience. Five (5) to seven (7) years of progressively responsible operational or consulting experience in revenue management (e.g., reimbursement, payer contracting, decision support, health information management). Some knowledge and experience of the healthcare industry or hospital financial operations. Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point, Access and Visio), financial systems/software, relational database management and business intelligence reporting tools. Ability to utilize PC-based financial tools (i.e., spreadsheets, databases, graphics, etc.). Must possess a high degree of analytical, quantitative, evaluative and problem solving skills. Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement support and specific revenue management function. Ability to develop appropriate methods to collect, analyze and report data. Strong attention to detail and organizational skills. Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments. Ability to work independently and with minimal supervision. Ability to work in a team environment providing support to multiple positions. Ability to resolve problems and complete assignments accurately and promptly. Excellent oral and written communication skills. Ability to manage/lead small projects or portions of projects. Demonstrated ability to respect confidential and sensitive information, understanding and honoring lines of accountability and communication is essential. Some knowledge of organization policies, procedures and processes. Ability to operate in an ambiguous and matrix organizational structure. Ability to operate in a highly autonomous self-directed manner under frequently changing structures, requirements and priorities. Must be comfortable operating in a collaborative, shared leadership environment.
PREFERRED SKILLS
5 to 7 years experience in payer contracting. Ability to handle low level contracting (e.g., signed agreements with small hospitals). Ability to build relationships with executive leaders. Some healthcare systems administration experience. This position is responsible for payer contract management and problem resolution. The ideal candidate will have strong communication and negotian skills as well as applicable experience in managing payer or provider relationships within a health plan or health care provider environment.
Application Procedure: Please apply at www.trinity-health.org/careers
Contact: www.trinity-health.org
Date Posted (mm/dd/yyyy): 07/23/2010
Expiration Date (mm/dd/yyyy): 08/23/2010
Job Title: Provider Relations Manager
Organization/Company: McLaren Health Plan
Description: MHP is searching for the right candidate to fill our Provider Relations & Network Development Manager role which is responsible for the planning, managing, and organizing Network Development functions for all products as designated. Responsible for developing a robust provider network, in conjunction with senior staff, including negotiating and contracting with providers. Responsibility for tracking and managing Network Development activity, including staff and performance reviews, provider education, and day-to-day operations of the department. Professionally and effectively markets the advantages of being a McLaren Health Plan network provider to prospective providers. Generates new contracting opportunities through telemarketing, written communications, and other distribution channels. Develop and implement processes to monitor contractual obligations and ensure MHP’s compliance with such. Develops and implements policies and procedures as it pertains to Network Development. Maintains regulatory compliance with State regulators and accrediting agencies. Responsible for the identification, research, reporting, and elimination of fraud and abuse. Responsible for analyzing, development and implementation of education and training programs for contracted providers and their staff. Designs, implements, and adjusts workflows to ensure department efficiencies are maintained.
Basic Requirements:
- Bachelors Degree in business, health care or related field. An equivalent combination of relevant education and experience may be substituted for the educational requirement.
- Five (5) years experience working in a managed care organization.
- Five (5) years progressive experience in a leadership role with a minimum of three (3) years in a management role leading a professional staff of five or more members in all phases of effective supervision (ie. Recruitment, performance management, training).
- Two (2) years experience in Provider contracting; including demonstrated success in leading negotiations.
Application Procedure: Please submit your resume and salary requirements to Mary Schaefer via email to:
MaryScha@McLaren.org
Contact: Mary Schaefer
Date Posted (mm/dd/yyyy): 06/08/2010
Expiration Date (mm/dd/yyyy): 06/22/2010
Job Title: QM Senior Project Coordinator (HH0149-23EX)
Department: Quality Management
Reports to: Manager, QM Research, Analysis, and Program Development
PRIMARY OBJECTIVE
Under minimal supervision, take a lead role in the design process documentation, implementation, coordination and evaluation of quality management studies and improvement projects. Serve as a departmental and organization-wide resource on methods of studying and improving health care quality.
DUTIES AND RESPONSIBILITIES
- Provide methodological and technical support to HAP and HFHS staff conducting quality management analysis and improvement activities. Work with the Quality Management Committee, department management, clinical staff, HAP providers and the managed care community to develop, implement and coordinate interventions to improve quality of care.
- Coordinate all activities to assigned projects, including coordinating the efforts of others (i.e., physician, nurses, administrative staff) involved in QM projects.
- Use expertise in data management and analysis to design and evaluate quality measurement and improvement programs.
- Take a lead role in the development of proposals, design of data collection methods and creation of project databases.
- Take a lead role in ensuring QM activities are conducted in accordance with QM policies and procedures. Develop documentation of policies and procedures when necessary.
- Take a lead role in the development of clinical guidelines for acute and chronic diseases.
Design programs to measure performance against guidelines and improve performance through provider and member education initiatives. - Develop and maintain areas of expertise within the field of quality management and performance measurement. Keep abreast of new techniques and review literature in these areas. Develop and apply new techniques to ongoing and proposed projects.
- Take a lead role in writing papers and delivering presentations to internal and external audiences.
Develop and test innovative solutions to problems of measuring health care quality.
Represent HAP on system-wide improvements teams and external task forces addressing clinical quality improvement issues. - Perform other related duties as assigned.
*Essential functions
REQUIREMENTS
Education
- Master Degree in Health Care Administration, Health Care Policy, Public Health, or a closely related field, or equivalent experience, is required.
Experience
- Requires a minimum of three (3) years experience in an analytical position, or two (2) years experience in an analytical position within a managed care and/or quality management environment
- Expertise in data management and project coordination is required
- Extensive experience in us PC-based software packages including relational database management systems, spreadsheet, work processing and statistical software
Abilities
- Excellent analytical, problem-solving, organizational and project management skills
- Demonstrated oral and written communication skills at a professional level
- Excellent interpersonal skills
- Demonstrated ability to work independently and manage multiple priorities, as well as work and lead in a team environment
Knowledge
- Knowledge of statistical and analytical techniques, particularly as they relate to quality measurement and improvement
- Knowledge of the health care industry, managed care principles, third party reimbursement, and quality measurement and improvement principles and procedures
- Knowledge of continuous quality improvement principle desirable
Job Title: Director of Quality Management
Organization/Company: Dalton Boggs & Associates on behalf of a hospital in Kentucky
Dalton Boggs & Associates, an executive search firm that specializes in healthcare, has been retained by a 600+ bed two campus hospital in Kentucky to find a Director of Quality Management. These facilities are a part of a seven hospital faith based, not-for-profit health system based in Kentucky. Additionally, there is a large ambulatory care facility located in the same city as the two large hospitals that includes an emergency room, ambulatory surgery, and full service diagnostics. This system has won numerous awards for quality of care, patient satisfaction, and employee satisfaction. They have a history of strong financial performance and are known for the commitment to their mission.
The Director of Quality Management is responsible for leading, planning, directing, and coordinating all Performance Improvement/Quality related initiatives (including Core Measures), Physician Peer Review/Medical Staff Quality, Clinical Patient Safety, and all Accreditation for both facilities and the ambulatory center. The Director will be responsible for the oversight of all data collection, management, and presentation for quality/performance improvement and patient safety initiatives as well as managing the Quality Plan for the three facilities. The Director will report to the system Vice President of Performance Management & Medical Staff Services.
All inquires will be held in the strictest of confidence. An extremely competitive compensation, benefits, and relocation package is available. If you know of anyone who may want to receive some additional information about this exciting opportunity, please have them call, contact or submit a resume in confidence to:
David Boggs
Dalton Boggs & Associates
4500 Bowling Blvd., Ste 100
Louisville, KY 40207
Office: 502.228.4030
Toll Free: 877.228.4030
Fax: 800.775.9403
Email: davidb@daltonboggs.com
Website: www.daltonboggs.com