Director Revenue Analysis

Veracity Software Inc

  • Bartlett, TN
  • 30+ days ago

    Highlights

    The ideal candidate will possess strong healthcare revenue cycle expertise, managed care analysis experience, and leadership capabilities with a focus on revenue optimization, compliance, KPI monitoring, A/R management, and financial operational improvement. This role provides analytical and operational support to hospital and market leadership, including the Hospital CFO, Market CFO, and Market Director Revenue Analysis.

    Numbers & Facts

    LocationBartlett, TN

    Description

    Job Title: Director Revenue Analysis
    Location: Bartlett, TN
    Job Type: Full-Time
    Work Model: Onsite

    The Director Revenue Analysis is responsible for monitoring, analyzing, and improving hospital revenue cycle operations and financial performance metrics for a single hospital. This role provides analytical and operational support to hospital and market leadership, including the Hospital CFO, Market CFO, and Market Director Revenue Analysis.
    The ideal candidate will possess strong healthcare revenue cycle expertise, managed care analysis experience, and leadership capabilities with a focus on revenue optimization, compliance, KPI monitoring, A/R management, and financial operational improvement.

    Work Environment
    Hospital-based financial leadership role
    Collaboration with CFOs, compliance teams, revenue cycle leadership, and hospital departments
    Focus on healthcare revenue cycle operations, KPI analysis, and contract management
    Cross-functional operational and financial oversight responsibilities

    Key Responsibilities

    Revenue Cycle & Financial Analysis
    Monitor reports and KPIs that impact hospital revenue cycle performance
    Analyze eReserve trends and factors significantly impacting net revenue
    Complete revenue sections of month-end Performance Summaries
    Identify revenue trends and implement operational improvement initiatives

    Managed Care & Contract Analysis
    Review proposed Managed Care contracts and identify operational or implementation concerns
    Monitor billing, accounts receivable, and reconciliation activities for hospital-specific contracts
    Support contract implementation and reimbursement optimization initiatives

    Operational Oversight & Compliance
    Coordinate and monitor:
    Leadership Meetings
    Chart Audit Meetings
    Compliance Meetings
    Charge Master updates
    Complex Case Reviews
    Internal and External Audit support
    Revenue Cycle initiatives
    Ensure compliance with financial system applications and hospital policies
    Escalate issues requiring CFO or Compliance Director attention

    Charge Master & Revenue Integrity
    Direct preparation and oversight of hospital Charge Masters
    Establish procedures for charge review and updates
    Ensure accurate charge capture and billing practices across hospital departments
    Serve as internal consultant on revenue integrity and billing best practices

    Leadership & Collaboration
    Work closely with hospital finance, compliance, and operational leadership
    Support revenue cycle process improvement initiatives
    Collaborate with legal teams regarding collection issues when necessary

    Must-Have Qualifications
    Bachelor's Degree
    Minimum 6 years of experience in:
    A/R Management
    Managed Care Contracting & Analysis
    Multi-facility business office leadership
    Strong healthcare revenue cycle experience
    Strong understanding of:
    Billing
    Accounts Receivable
    Revenue Integrity
    Charge Master processes
    Managed Care contracts
    KPI/SLA monitoring
    Strong analytical, operational, and communication skills
    Leadership experience in healthcare financial operations

    Preferred Qualifications
    Bachelor's Degree in:
    Business
    Healthcare Administration
    Related field
    Hospital revenue cycle leadership experience
    Experience supporting hospital CFOs and executive leadership
    Experience with compliance and audit coordination
    Strong understanding of healthcare reimbursement methodologies

    Core Skills
    Healthcare Revenue Cycle
    Revenue Analysis
    Accounts Receivable Management
    Managed Care Contracting
    Revenue Integrity
    Charge Master Management
    KPI & SLA Monitoring
    Financial Reporting
    Billing & Reconciliation
    Compliance & Audit Support
    Hospital Financial Operations
    Multi-Facility Leadership

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