Revenue Integrity Procedure Improvement & Analytics Director

Banner Health - Phoenix, AZ3.8

Full-timeEstimated: $110,000 - $150,000 a year
Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Revenue Integrity Process Improvement provides Revenue Cycle analysis support to the local facility Chief Financial Officers and acts as the liaison between finance and operational reporting. This team consists of twenty individuals including Senior Program Managers and Analysts. The person in this role will have the opportunity to drive an energized team ready to make a difference and excited about the direction of this program.

The Revenue Integrity Process Improvement & Analytics Director will act as the liaison between finance and operational reporting. This role will support the Senior Program Managers and Analysts for all Banner facilities. The basic functions will include aggregating the facility level information for denial analysis, revenue leakage opportunities and ad hoc request with the Chief Financial Officers. This information is to assist in managing project alignment, standardization, and budgeting. This role is critical to ensure revenue at for the enterprise.

Your pay and benefits are important components of your Journey at Banner Health. This opportunity is also eligible for our Management Incentive Program, as part of your Total Rewards package. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

Job Summary

This position is responsible for the direction and supervision of the Banner, Revenue Integrity Process Improvement and Analytics (RIA) function and team. The position provides a leadership role in evaluating Revenue Integrity dashboard measurement, outcome analysis and identification of trends, issues and improvement opportunities for revenue integrity related processes. Under the oversight of the Revenue Integrity Executive Oversight team, the RIA team will help identify, gather, evaluate, and assist with the design and implementation of Revenue Integrity related process improvement ideas in collaboration with facilities, finance, Revenue Cycle, Revenue Integrity and other Banner leaders.The position reports to Banners Revenue Integrity Senior Director and supervises the RIA department Senior Managers and analysts.

Essential Functions

Directs the RIA team work as they evaluate submitted process improvement ideas, submitted personally or from others, to determine scope, root cause, operational impact, ROI opportunities and costs, and submits in a standardized proposal template for review by the Executive Oversight team. Proposals will seek to improve efficiency, effectiveness and best practice standardization of associated Revenue Integrity processes.

Meets with the Executive Oversight team to review submitted process improvement ideas to determine viability and prioritization for process redesign to address process gaps and create system-wide, standardized best practice Revenue Integrity work processes and solutions. Reports back to the Oversight team on progress and success of approved initiatives.

Makes assignments to RIA Senior Managers to lead individual process improvement initiatives to research, define, design and implement system-wide, standardized best practice Revenue Integrity work processes and solutions. Ensures coordination with other relevant system leaders in the research, define and design process as part of membership on the initiative team.

Directs staff in developing needed process improvement and implementation materials including communication, training, policies/procedures and monitoring to ensure successful implementation of the improvement solution.

Works as a visible and credible change agent with system and facility leadership to help build a culture that engages in complex problem resolution and process improvement.

Directs Revenue Integrity Sr Managers and support analysts in developing and implementing standardized approaches to analyze Revenue Integrity dashboards to identify process trends, issues, root causes and opportunities for improvement.

Regularly meets with facility C-suite and CFOs to ensure effectiveness of the RIA dashboard analysis work and recommendations to assist facility leadership in understanding their facility performance, challenges and needs for process improvement by addressing root cause process gaps.

Provides assistance, coordination and education on Revenue Integrity related issues to system leaders.

Minimum Qualifications

Requires a Masters degree in Business Administration, Finance or related field or equivalent experience.

Requires a proficiency level typically achieved with 4 years of leadership or consulting revenue cycle and revenue integrity experience and knowledge (patient billing/clean claims; health information management; etc.). Requires strong human relations, organizational, process improvement and project management and communication skills as well as demonstrated leadership skills.Must have advanced computer skills with strong working knowledge of IT systems, applications and functions from clinical and business perspectives. This position requires the understanding of patient billing systems and business processes in a highly complex environment. A strong working knowledge of government payer programs and reimbursement methodologies (CMS, AHCCCS, CHAMPUS) and of managed care programs is essential.

Preferred Qualifications

Additional related education and/or experience preferred.