Director of Revenue Cycle & Business Development

Job Profile Summary

Responsible for the overall effectiveness of the revenue cycle process and business development strategic initiatives of the department. Works closely with the Executive Director and other senior leadership to optimize revenue cycle operations; and works collaboratively with other departments across the revenue cycle and health system to ensure revenue cycle processes are efficient, effective and compliant. Assists in business development initiatives related clinical mission growth.

Primary Duties & Responsibilities

Revenue Cycle Leadership/Excellence (50%)

• Performs financial review and analysis, reimbursement analysis and budget analysis. Assists the department Leadership in establishing business plans.
•  Implements strategies to maximize reimbursement for the department. Works collaboratively with the billing/coding team within the department and medical school partners in Physician Billing Services to achieve these goals.
•  Prepares and distributes monthly performance metrics as it relates to revenue cycle performance
• Recommends and develops strategies for revenue enhancements across the clinical mission of the department.
• Consults and makes recommendations to senior management and institution partners on significant revenue cycle and/or government payer issues.
• Develops effective action plans and implements to successful conclusion.
• Actively participate in service line-specific strategic planning and revenue cycle prioritization and planning.
• Provides oversight of Charge Description Master functions and reimbursement analysis.

Business Development (30%)

• Provides business decision support for clinical expansion strategic goals.
• Provides strategic expertise towards business aspects of contractual relationships, including hospital and community contracts.
• Provides multi-year financial forecast based on department objectives; considers and addresses the financial impacts of new initiatives as well as those associated with internal and external trends and changing regulations (e.g., reimbursement changes); ensures long-term, fundamental financial stability and growth of the department.
• Serves as an in-house consultant and trusted advisor by assuming an active role in the management and coordination of strategic planning and business development initiatives.
• Provides recommendations for geographic expansion, growth, mission, program distinction/recognition and/or revenue enhancement.
•  Develops market analysis to evaluate competitive landscape (pull, analyze and interpret data).
• Identifies relevant trends among important stakeholders
•  Develops go-to-market strategies for new or expanding services.
• Identifies risks, mitigation factors, and key performance indicators.
•  Leads in the development and management of work plans to produce deliverables and meet target deadlines.

Innovation (20%)

• Handles high-priority and ad-hoc projects.
• Works collaboratively with the department’s informatics and analytics team to develop innovative ways to further revenue cycle and business development

Other

• Observes compliance with Governmental agencies, University, Medical School and Department mandatory training programs.
• Represents the Department/Medical School/University and participates as a member on various committees and activities.
• Performs other duties as assigned.