Director Process Improvement System

POSITION SUMMARY

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 but not limited to the implementation/management of all reporting/process improvement initiatives, AI development, and analytic tools to support data analysis, and operational excellence.

The Director, Process Improvement - System must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epics Slicer Dicer, and Cubes reporting technology, and will provide leadership and mentoring of managers/leads and other revenue cycle staff. The Director, Process Improvement - System will oversee the design, implementation, and operation of all enterprise revenue cycle reporting, analytic, and process improvement initiatives including AI.

The Director, Process Improvement - System will also provide oversight to a team of managers and analysts to ensure that revenue cycle reliable metrics, reporting, analytics, and process improvement implementations are provided to BMC & BUMG system customers in a timely manner ensuring relevant information is encompassed to aid with decision‑making and process change analysis.

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, Process Improvement - System will be a key contributor to the overall Revenue Cycle leadership team and will participate in planning and organizational improvement initiatives.

• Directs a team of 2 managers (and indirectly 4 analysts) with the intent to grow. Plans and directs the activities of the Process Improvement team as performed by the Managers & analysts. Responsible for recruitment, hiring, performance management, training, professional development
• Coordinate internal and external resources to ensure that reasonable goals are established, adequate time is allotted to achieve optimal integration, and deadlines are met
• Oversees reporting and analytic training to BMC & BUMG System staff
• Responsible for the production and distribution of enterprise revenue cycle performance reporting; serves as a subject matter expert on data analytics
• Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & 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 analyzing aging for all payers, and identifies opportunities for accelerating cash and reducing AR >90 days. Identifies trends denial/delay by payer
• Oversee, implement, and maintain processes for analyzing payer denials, identifies and implements prevention opportunities for reducing denials and increasing revenue
• Work with revenue cycle vendors to discover and document the root cause of any related risk management deficiencies and formulating and documenting corrective action plans and related monitoring and reporting to protect against occurrence of such failures.
• Manages the prioritization efforts for analytics & reporting through the Revenue Cycle prioritization structure
• Understands the evolving business and analytics needs at BMC, BUMG and at peer organizations within the system
• Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset in the BMC and BUMG System should evolve
• Plans, manages and oversees projects, utilizing recognized project management methodologies
• Wherever possible, develops plans to reduce redundancy between hospital and physician billing.
• Responsible for developing, reviewing, reporting,…