The Revenue Cycle Program Director is responsible for successfully leading and completing assigned projects within expected timeframes and budget, building project proposals, partnering with internal and external customers to decrease waste and add value in Revenue Cycle, and working with senior leadership to inform Revenue Cycle’s strategic direction.

 

Provide project management for all aspects of assigned departmental projects. Lead/manage medium- to large-size projects, leveraging advanced project management methodologies and tools to deliver results. Accomplish project objectives by planning and evaluating project activities.

 

Under general direction, the Revenue Cycle Program Director is responsible for all aspects of the development and implementation of assigned projects and provides a single point of contact for those projects. Takes projects from original concept through final implementation. Interfaces with all areas affected by the project including end users, Information Technology (IT), and client services. Defines project scope and objectives. Develops detailed work plans, schedules, project estimates, resource plans, and status reports. Conducts project meetings and is responsible for project tracking and analysis. Ensures adherence to quality standards and reviews project deliverables. Manages the integration of vendor tasks and tracks and reviews vendor deliverables. Provides technical and analytical guidance to project team. Recommends and takes action to direct the analysis and solutions of problems. Employees in this classification typically analyze, compare, and evaluate various courses of action and have the authority to make independent decisions on matters of significance, free from immediate direction, within the scope of their responsibilities. Primary activities and decision-making authority are predominantly performed independently affecting business operations to a substantial degree.

 

This role also requires the individual to liaise on process and documentation analysis; to proactively plan and manage dynamics related to implementation of the institution’s many applications – clinical, revenue cycle, and business. Duties would include coordinating logistics and creating and managing documentation for multiple standing committees. These responsibilities will result in efficient, standardized, and appropriate process changes that will be integrated and communicated to leaders and groups.

LEADERSHIP

Support the accomplishment of departmental strategic plans that achieve high impact and significant improvements in organizational performance. Provide leadership, consultation, and support for continuous Revenue Cycle initiatives within the department in support of organizational goals. Staff the Revenue Cycle Governance Committee (RCGC). Coordinate the preparation of all agenda items presented to the committee and develop and staff a preparation workgroup. Systematically apply and teach the science and theory of project management to achieve results on time and within budget. Make recommendations to Revenue Cycle leadership on work redesign efforts that assure an efficient and cost-effective department. Identify and address change management issues related to the evolution of the Revenue Cycle environment. Provide leadership for and actively participate in departmental and institutional activities and programs. Lead teams, committees, and special projects as assigned.

PROCESS EXECUTION - OPERATIONS

Assist in the planning, design, development, implementation, maintenance, and evaluation of business systems and processes to support Revenue Cycle operations and patient care delivery. Perform analysis of department and end-user business needs. Document end-user requirements. Utilize technical, analytical, and customer service skills, knowledge of regulatory requirements, and Revenue Cycle policy and practices to identify options to meet end-user needs. Articulate the costs, risks, and benefits of all options presented to enable informed decision-making. Participate in activities with interrelated teams including IT project management, testing, support, training, technical, and interface teams. Coordinate functional testing and implementation of IT programs and systems, including preparation of scripts and data for system testing. Review the pre-initiation documentation and agree to project problem, customer needs and environment, and requirements. Work with the Project Sponsor and other key team members to validate project approach, goals, objectives, and deliverables. Create and update project documentation (project scope, team members and stakeholders, milestone schedule, budget, risks, constraints, and assumptions). Conduct stakeholder analyses. Work with sponsor and/or appropriate committee(s) to obtain project authorization. Research industry standards. Develop detailed work plans, schedules, estimates, resource plans, and status reports. Conduct project meetings and hold responsibility for project tracking and analysis. Coordinate event planning and logistics. Set, communicate, and continually manage project expectations with team members and other stakeholders. Analyze the design of Revenue Cycle processes, work, and data flows. Make recommendations to leadership that improve patient, provider, and staff satisfaction, gain efficiency, decrease cost, and reduce waste. Foster and implement systems that lead to proper data governance strategies that support Revenue Cycle operations and secondary uses of EHR data including but not limited to: Measuring the quality, safety, and efficacy of care, Supporting decision making, Setting policy, o Improving clinical, financial, and administrative performance, and o Monitoring resource utilization. Set, communicate, and continually manage program/project expectations with team members and other stakeholders. Contribute information to and recommendations for strategic plans and reviews. Support the creation of executive, departmental, and unit operational benchmarking activities and reporting for assigned projects. Prepare well-supported business cases in alignment with organizational and departmental objectives and shepherd business cases through purchasing, capital, and IT governance and contract negotiation, as applicable. Collaborate with Revenue Cycle leadership to implement production, productivity, quality, and customer-service standards and standard work. Collaborate in the preparation of requests for proposal (RFP) or requests for information (RFI) and participate in the evaluation of RFP and RFI responses. Research various topics regarding Revenue Cycle and prepares reports and presentations.

PEOPLE AND PARTNERS

Develop and maintain professional relationships with colleagues and staff within the Revenue Cycle, within TCHHN, and with outside entities to promote mutual understanding and respect. Work within the department, across the organization, and with clinical and senior leadership to meet organizational goals. Act as a liaison to IT and clinical personnel. Provide project management and quality improvement support to co-workers and customers as assigned.

PROBLEM SOLVING

Think strategically and broadly when identifying issues and developing potential solutions. Demonstrate consistent use of Lean methodology for problem analysis and improvement. Demonstrate the ability to manage multiple projects and work in a balanced manner. Provide leadership in the consistent application of the plan-do-check-act (PDCA) cycle as the process for continuous quality improvement (including the identification of internal and external customers, recognition of re-work/waste, flowcharting, root cause identification, brainstorming, and use of data); and embrace the organization’s strategic objectives. Analyze data to identify opportunities for improvement and make recommendations of proactive steps to address concerns to appropriate Revenue Cycle leaders.

REQUIRED QUALIFICATIONS

Bachelor’s degree in a relevant field, e.g., Public Administration, Business Administration, Engineering, Information Technology, Health Sciences. Eight or more years of progressive management experience or project management experience. Familiarity with electronic health record applications. Proven experience in managing complex enterprise projects and/or operations. Demonstrated expertise in creating and maintaining deliverables such as project scope and plan, status reports, cost estimates, communication plan, presentations, risk management plan, milestone/deliverable charts. Demonstrated experience in managing issues, scope, and quality while bringing projects to successful completion within the cost and time requirements. Proficiency with desktop management software, including Microsoft Word, Excel, PowerPoint, Power BI, Project, Visio, SharePoint, OneNote. Strategic and conceptual analytical thinking. Ability to analyze financial plans and budgets. Demonstrated expertise in working with diverse cross-functional teams. Extensive knowledge of project management methodologies such as Agile, Waterfall, and Critical Path Method. Knowledge of and competency in management processes. Knowledge and experience utilizing continuous process improvement methodologies, such as Plan-Do-Check-Act, Lean, and Six Sigma. Adhere to highly-reliable organizational (HRO) principles to improve work processes and solutions. Ability to plan and facilitate meetings. Demonstrated excellent time-management skills. Demonstrated strong decision-making skills. Demonstrated initiative, adaptability, and focus. Demonstrated effective oral and written communication, and presentation skills. Exceptional relationship building and interpersonal skills.

 

PREFERRED QUALIFICATIONS

Master’s degree in Computer Science, Business Administration, Public Administration, Information Science, or related field. Knowledge of regulatory and compliance issues, including HIPAA and Medicare and Joint Commission requirements. Demonstrated knowledge of the patient care process, both inpatient and outpatient. Knowledge of applied statistics, process analysis, and outcomes analysis. Certified Project Manager (PMP) or Certified Associate in Project Management (CAPM).