Director Process Improvement System

Overview

Join to apply for the Director Process Improvement System role at Boston Medical Center (BMC).

Reporting directly to the Executive Director, Revenue Cycle Transformation, the Director, Process Improvement - System is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at the BMC and BUMG system, including the Community Hospitals. This will encompass the implementation/management of all reporting/process improvement initiatives, AI development, and analytic tools to support data analysis and operational excellence.

Position: Director Process Improvement System

Department: Revenue Cycle

Schedule: Full Time

The Director, Process Improvement - System will engage with leadership within the BMC System and third party vendors to ensure that reporting, analytic, and process improvement resources are optimally aligned to meet specific strategic needs of the System. The Director will be a key contributor to the Revenue Cycle leadership team and will participate in planning and organizational improvement initiatives.

• Direct a team of 2 managers (and indirectly 4 analysts) with the goal of growth. Plan and direct the activities of the Process Improvement team. Responsible for recruitment, hiring, performance management, training, and professional development.
• Coordinate internal and external resources to establish goals, allocate time for optimal integration, and meet deadlines.
• Oversee reporting and analytic training to BMC & BUMG System staff.
• Produce and distribute enterprise revenue cycle performance reporting; serve as a subject matter expert on data analytics.
• Participate in committees including Revenue Cycle Council and Denials Management teams.
• Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials.
• Oversee, implement, and maintain processes for aging analysis for all payers and identify opportunities to accelerate cash and reduce AR >90 days; identify payer denial/delay trends.
• Oversee, implement, and maintain processes for analyzing payer denials; identify and implement prevention opportunities to reduce denials and increase revenue.
• Collaborate with revenue cycle vendors to document root causes of risk management deficiencies and develop corrective action plans with monitoring and reporting.
• Manage prioritization of analytics & reporting within the Revenue Cycle prioritization structure.
• Stay informed on evolving business and analytics needs at BMC, BUMG, and peer system organizations; set the vision for toolset evolution.
• Plan, manage, and oversee projects using recognized project management methodologies.
• Where possible, develop plans to reduce redundancy between hospital and physician billing.
• Develop, review, report, monitor, and enhance performance on revenue cycle management matters.
• Oversee creation of customized reports and coordinate training for core users on reporting tools.
• Devise and recommend new or modified approaches to reporting to improve financial and statistical reporting.
• Lead projects outside the original scope to maintain a high-performing revenue cycle.
• Perform other duties as assigned by the Executive Director, Revenue Cycle Transformation.

Required Education and Experience

• Bachelor's degree in finance, business, healthcare or related field; and at least 10 years of experience in finance, revenue cycle management, or information systems, with at least 5 years in a leadership role. Or an equivalent combination of education and experience. Experience with in healthcare required.

Preferred Education and Experience

• Master's degree

Knowledge, Skills & Abilities (KSAs)

• Technical:
  Demonstrated ability in Epic; proficient with third-party analytic applications; strong knowledge of accounting, finance, and business administration; understanding of patient financial billing regulations, reimbursement, and managed care; familiarity with auditing.
• Project Management:
  Ability to manage multiple complex projects, from vision through implementation, and to ensure work is completed on schedule.
• Leadership:
  Ability to lead cross-functional teams, set a vision, and motivate stakeholders; strong analytical and communication skills.
• Management:
  Ability to motivate staff, set priorities, delegate, manage multiple tasks, and maintain documentation.

Equal Opportunity Employer/Disabled/Veterans. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or distribute job offers via text messages or social media. We do not ask individuals to purchase equipment for or prior to employment.