Senior VP and Chief Revenue Officer

Qualifications

• Collaborate with System and Business Unit leadership teams, including hospital, Medical Group, and IT leadership to achieve the vision and strategic direction for revenue cycle, reimbursement, system contracting and revenue integrity business functions.
• Plans, develops, and implements new systematic approaches to maximizing revenue, improve financial performance, generate cash flow, and improve operational efficiency.
• Responsible for centralized analysis and project management of Revenue Cycle, Reimbursement & Contracting performance improvement initiatives.
• Develop the organizational framework to adopt a metrics driven balanced scorecard for assessing revenue cycle and contract performance effectiveness in relation to industry benchmarks.
• Develop targeted strategies to improve patient satisfaction with the revenue cycle/ patient billing process.
• Facilitates a matrixed approach in the development and redesign of business processes.  Ability to work effectively with the health system’s organizational structure in planning and conducting needs-assessment activities to implement business solutions that improve operational processes.
• Leads multi-disciplinary teams and committees pertaining to service and functional areas.
• Provide advisory and operational assistance in the acquisition, development, and implementation of revenue cycle business systems.
• Provides leadership and direction to the patient financial services function to ensure the efficient operation of all aspects of the revenue cycle.  In doing so, monitors and reports on quality and cycle time measures/benchmarks for patient financial services.
• Provides leadership and direction to Henry Ford Health’s reimbursement and direct contracting functions to ensure that revenue reporting adheres to regulatory guidelines.
• Collaborates with Executive leadership to develop system contracting strategy and serve as a key contracting strategist to ensure HFH is well positioned for transition from volume to value-based reimbursement.
• Oversees all payer negotiations in collaboration with medical group/CIN leadership for pay-for-performance, bundled payments, shared savings/risk, and traditional fee-for-service arrangements, including evaluation of reimbursement terms, contract language, risk-based arrangements, and operational implications.  Payor products include CMS MSSP, commercial, Medicare Advantage, Medicaid HMOs, Direct to Employer, and other governmental and international payors.
• Maintains expertise in reimbursement methodologies and regulatory changes as they apply to payor contracts.
• Oversees the development and execution of System Revenue Cycle, Contracting and Reimbursement playbook to ensure alignment with health system strategic priorities and achievement of department goals.
• Ensure completion of various financial forecasts including cost center salary and direct expenses, month-end financial reporting, receivable levels, cost center productivity and any long range and strategic plans for the department.
• Provides mentorship of Vice Presidents and others within the Revenue Cycle.

Qualifications

• Bachelor’s Degree in Finance or Health Care Administration, required. Master’s Degree and Certified Public Accounting experience preferred.
• Ten (10) years of progressive leadership experience in revenue cycle including experience with Managed Care Contracting, Reimbursement and Revenue Integrity.
• 5+ years of senior leadership experience preferred.
• Must have a thorough knowledge of financial management principles and policies
• Ability to motivate teams to produce quality materials with tight timeframes and simultaneously manage several projects.