Revenue Manageement Consultant - PBS-F

POSITION PURPOSE

Provides consultation, leadership and managerial direction in the delivery of small to mid-size project initiatives/teams for an operational area of revenue management for the Unified Revenue Organization (URO) in Trinity Health.  Manages and oversees team members’ work assignments, provides technical specialized leadership and guidance in coordinating projects and managing deliverables and serves as a resource for ad-hoc problem resolution and troubleshooting.  Work assignments are considered ‘stretch’ and demand a broad base knowledge of multiple operational areas of revenue management and/or seasoned knowledge in an area of specialization, field of concentration or discipline in order to understand business needs and the interrelationship of issues impacting the implementation of project goals and objectives. Serves as a consultative resource and develops, establishes and manages relationships with executive leaders, key stakeholders, high-level professionals and decision makers. Project work is strategic and reflects a UEM wide scope and impact affecting numerous stakeholders and requiring the facilitation of change management and process improvement techniques and methodologies. Work assignments are complex and often require managerial and/or considerable consulting knowledge and experience in order to plan, coordinate and control the activities of others, as well as integrate activities that are relatively homogenous or diverse in nature.

ESSENTIAL FUNCTIONS (Generic)

Knows, understands, incorporates and demonstrates the Trinity Health Mission, Vision and Values in leadership behavior, practices and decisions.          

Manages and oversees small to mid-size project initiatives/teams having a UEM focus, scope of responsibility and impact.  Defines and manages project plans and goals; conducts business workflow mapping; impact analyses and modeling; applies action steps, develops status reports or communication plans and keeps management and key stakeholders apprised ensuring project plans and deliverables are met and in alignment with organization goals.

Manages and oversees team members’ work. Provides and monitors assignments of project team members, generally in a matrix work environment. Provides leadership and seasoned guidance coordinating projects, adhering to established methodology, managing deliverables, addressing risk factors and providing problem resolution in meeting project plan deliverables.

Serves as a key consult and recognized expert providing seasoned guidance and proven competence interfacing with executive leaders, stakeholders, high level professionals and decision makers in the development and implementation of operational process improvement and change management strategies.  Develops and maintains effective relationships with leaders, stakeholders, high level professionals and decision makers in order to support URO UEM initiatives and ensure the successful implementation of goals and objectives.

Facilitates committee meetings with executive leaders, key stakeholders and decision makers by gathering/exchanging information, coordinating communications and making presentations. Responsible for researching and compiling detailed information from multiple sources and preparing materials which may include the development of new policies, processes and opportunities.

Responsible for complex and specialized assignments requiring the application of deep analytical and practical guidance and direction. Serves as a technical resource providing seasoned and specialized knowledge and interpolative and adaptive thinking in response to a variety of situations and challenges.  Develops integrated solutions to resolve complex technical and business issues and strategies which support business needs, address the interrelationship of issues and aligns operational plans with URO UEM goals and objectives.

Identifies and prepares operational and financial metrics and provides appropriate interpretation and application of data.  Designs, develops and implements systems that provide financial, statistical and operational information.  Identifies and recommends enhancements to computer systems which support the revenue management operations.

Other duties as assigned.

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

MINIMUM QUALIFICATIONS

Bachelor’s degree in Business Administration, Finance, Accounting, Informatics or related field or an equivalent combination of education and related experience. Considerable revenue management knowledge and experience. Requires a breadth and mastery of technical and business knowledge in multiple disciplines/processes.

Seven (7) to ten (10) 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 small to mid-size projects having a system-wide scope of responsibility and impact.  Demonstrated increases in operational management or project management leadership experience. Develops and maintains effective collaborative relationships and partnerships with leaders, stakeholders and decision makers.

Some knowledge of project plan development, workflow analysis and change management/process improvement methodologies

Considerable knowledge of and experience in project plan development, workflow analysis, and managing complex process improvement/change management projects. Ability to drive change and to plan, formulate and implement strategies.  Ability to identify, evaluate and demonstrate operational opportunities, business needs, provide authoritative consultation and recognize the interests of executive leaders stakeholders and decision makers.

Strong interpersonal, consultative, relationship and consensus building skills in order to effectively facilitate teams/committees and interface with executive leaders, key stakeholders and decision makers.

Strong 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.

Excellent 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 under frequently changing structures, requirements and priorities.

Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty,

      Integrity, and caring with the ability to inspire and motivate others to promote the                 philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS        

Must be able to set and organize own work priorities, and adapt to them as they change frequently.

Must be able to travel to the various Trinity Health sites (XX) as needed.

Must possess the ability to comply with Trinity Health policies and procedures.

ESSENTIAL FUNCTIONS AND/OR MINIMUM QUALIFICATIONS ALSO INCLUDE THE BELOW AS STATED FOR EACH FUNCTIONAL AREA. (PREFERRED)

PATIENT FINANCIAL SERVICES

  • 7 to 10 years relevant operations experience and functional knowledge (e.g., insurance verification, Medicaid transfers, etc.)

  • Broad based knowledge of health care finance and hospital operations

  • Management experience over multiple departments

  • Technical degree

REIMBURSEMENT AND REVENUE MANAGEMENT

  • 7 to 10  years healthcare consultant or management experience (i.e., reimbursement)

  • Broad based knowledge and experience of health care finance and hospital operations management

  • Prior functional knowledge

COMPLIANCE

  • 7 to 10  years healthcare consultant or management experience (i.e., reimbursement, coding, audit/compliance)

  • Broad based knowledge of health care finance and hospital operations

  • Prior functional knowledge

PAYER CONTRACTING

  • 7 to 10 yrs years relevant experience (i.e., payer contracting)

  • Broad based knowledge of health care finance and hospital operations

  • Revenue cycle experience and knowledge

  • Ability to deal with payer contracts

QUALITY HEALTH RECORD AND CODING

  • Certification, i.e., Health Information Technology

  • 7 to 10 years experience in Health Information Management (HIM), Nursing Informatics

  • Broad based knowledge of health care finance and hospital operations

  • Some knowledge of LEAN, Six Sigma

DECISION SUPPORT

  • 7 to 10 years experience in health care revenue management related function(s)

  • Broad based knowledge of health care finance and hospital operations

  • Considerable reporting and analyses experience including design and delivery, performing analytical and data mining activities and reporting in at least one healthcare discipline.   Working knowledge of complex relational databases.  Advanced reporting skills utilizing Business Objects or COGNOS.

  • Knowledge of HealthQuest and/or Trinity Health Revenue Solutions Warehouse (RSW) data structures required

GENESIS

  • 7 to 10  years relevant healthcare consultant or operational  management experience   in  Revenue Cycle Management in Patient Access, Patient Financial, Health Information Management (HIM)
  • Broad based knowledge and experience of health care finance including Accounts Receivable Management, hospital operations,  Financial System informatics
  • Considerable operations experience; high-level management and leadership expertise
  • Six Sigma with emphasis on process mapping and process re-design
  • Information system experience and expertise supporting the functional components of the Revenue Cycle and the Genesis System Platforms