SVP Revenue Cycle

Job Profile Summary

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Revenue Cycle Leadership duties:
Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long‑term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. An executive role that provides strategic vision and/or tactical/strategic direction across multiple teams with the majority of time spent on overseeing area of responsibility and directing the responsibilities of employees.

Goal achievement is typically accomplished through performance of direct and/or indirect reports. An entity function head or enterprise sub‑function head role accountable to establish and implement strategies that have short to mid‑term (1‑3 years) impact on business results in alignment with organization or function objectives. Leads multiple teams of lower‑level executives, directors/senior managers and managers and develops short to mid‑term (1‑3 years) plans for optimizing the organization, function or sub‑function and the talent required to execute strategies in job area.

This position provides centralized management for all Revenue Cycle functions for Tufts Medicine and its affiliate members. The leader will direct, manage and implement programs to ensure efficient operations of the organization’s Revenue Cycle program in order to generate sufficient cash flow to support operations and strategic initiatives. Responsible for identifying, analyzing, reducing and resolving all Revenue Cycle issues. Responsible for developing and maintaining effective relationships with administrative, clinical department, and physician leadership across the organization.

The leader will also promote working relationships with key external organizations; this would include other providers, payers, government entities and applicable professional associations. Accountable for the following functions:
Patient Access Management, Pre‑Services, Health Information Management, Clinical Documentation Integrity and Utilization Review, Revenue Integrity, Patient Financial Services, Home Care/ Post‑Acute Revenue Systems, Physician Services and Operational Strategy and Optimization.

• Bachelor’s degree in Business or Healthcare Management.
• Ten (10) years of progressive leadership experience in healthcare Account Receivables.
• Extensive knowledge of hospital and professional fee Revenue Cycle and regulatory requirements as they relate to the Revenue Cycle.
• Significant experience with payers, providers, hospitals and physicians.
• Extensive understanding of the requirements for facilitating accounts receivable resolution, cash flow, billing, revenue enhancement and patient service issues.

• Master’s degree in Business or Healthcare Management.

• Manages revenue cycle activities to insure cost effectiveness, organizational efficiency, and optimal collection rates.
• Provides strategic direction to these functions and how the functions in question inter‑relate to the other functions within the organization.
• Communicate the Revenue Cycle departmental activities to Senior Management as it relates to cash flow, organizational profitability, customer service, Accounts Receivable results and revenue enhancement activities.
• Develops, implements and directs various quality initiatives to ensure continuous monitoring and improvements within the revenue cycle process. This includes managing an overall departmental operating/capital budget(s) within pre‑determined limits to ensure operational efficiencies and obtaining pre‑determined performance targets.
• Negotiates and establishes SLAs and associated frameworks in support of the organization’s goals.
• Implements and manages third‑party vendor relationships as necessary.
• Develops a structure for innovation and…