Director, Revenue Cycle Management PMO – Transformation

🕒 Setembro 12

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 10%

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Baylor Genetics

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1978

🏥 Saúde

💼 Consultoria

🍽️ Alimentos e Bebidas

Healthcare • Consulting • Food & Beverage

A Baylor Genetics é um laboratório de genômica clínica e diagnóstico de precisão afiliado ao Baylor College of Medicine, que oferece serviços abrangentes de teste genético e interpretação. A empresa oferece sequenciamento do genoma completo e do exoma completo, análise cromossômica por microarray, testes mitocondriais, farmacogenômica e ensaios especializados, juntamente com aconselhamento genético, suporte para prestadores de serviços e recursos de seguro/pagamento. A Baylor Genetics apoia prestadores de saúde, pesquisadores e famílias com interpretação aprimorada por IA, integração de dados multimodais e serviços clínicos e laboratoriais de ponta a ponta.

Descrição

• Lead the RCM project portfolio, set priorities, and ensure initiatives deliver measurable financial and operational results • Partner with RCM Operations, Clinical Operations and Coding, Strategy and Analytics, Market Access, Finance, IT, Product, Compliance, and vendors • Maintain a prioritized portfolio of active, planned, paused, and completed RCM projects • Require project sponsors, owners, outcomes, effort estimates, dependencies, and timelines before work begins • Recommend which initiatives should start, pause, stop, or wait based on impact, risk, and capacity • Provide executive reporting on progress, risks, missed dates, resource needs, expected benefits, and required decisions • Escalate ownership, scope, funding, timing, vendor, and resource issues with recommendations • Identify at-risk projects and require recovery plans • Lead RCM process, technology, vendor, analytics, and automation initiatives • Define future-state workflows, roles, requirements, controls, exception handling, and handoffs • Ensure requirements, testing, training, go-live support, and operational transition are completed • Establish baselines, target results, owners, data sources, and measurement methods • Review post-implementation results and require corrective action when outcomes or adoption fall below plan • Assign PMO work and coach staff while maintaining standards for planning, reporting, escalation, testing, launch, and closeout

🎯 Requisitos

• Bachelor’s degree in healthcare administration, business, finance, information systems, a clinical discipline, or a related field • 7+ years of progressive experience in healthcare RCM, healthcare operations, consulting, transformation, or program management • 5+ years leading complex programs, multiple concurrent projects, or cross-functional teams, including people leadership • Strong working knowledge of the full healthcare revenue cycle and payer reimbursement • Ability to prioritize work, resolve ownership conflicts, communicate with executives, and deliver measurable results • Experience leading projects involving operational teams, technology, vendors, data, testing, training, compliance, and change adoption • Consulting experience with RCM strategy and transformation is preferred • Experience in diagnostic, molecular, genetic, pathology, specialty laboratory, or another complex reimbursement environment is preferred • PMP, PgMP, Lean Six Sigma, HFMA, Prosci, revenue cycle, or comparable certification is preferred • Experience with Quadax, Salesforce, clearinghouses, payer portals, laboratory billing systems, Jira, Microsoft project tools, BI tools, automation, or AI-enabled workflows is preferred • Ability to protect patient, client, employee, financial, and business information and comply with company policies, HIPAA, and applicable regulatory requirements

🏖️ Benefícios

• Full-time remote work • Reasonable accommodations provided in accordance with applicable law • Equal opportunity and inclusive workplace • HIPAA and applicable payer, laboratory, quality, and regulatory compliance support