Director, Transformation Services – Revenue Integrity

🕒 Setembro 11

🏖️ New Jersey – Remoto

🏖️ New Jersey – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 12%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Med-Metrix

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2010

🏥 Saúde

☁️ SaaS

💰 Private equity em 2025-09

Healthcare • SaaS

A Med-Metrix é uma empresa para a qual foi fornecida apenas uma presença mínima na web (a página apenas exibia "Carregando aplicativo... Seu navegador precisa ter o JavaScript habilitado... "). Nenhum produto, mercado ou detalhes de missão foram incluídos no texto fornecido. Com base apenas no nome da empresa, é plausível que foque em métricas médicas ou clínicas, análises ou software para a área de saúde, mas isso é especulativo e não confirmado pelas informações fornecidas. Mais detalhes públicos seriam necessários para ser mais específico.

Descrição

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients • Manage project plans, deadlines, and on-time deliverables • Prepare reports, presentations, and documentation to monitor and communicate initiative effectiveness • Improve tracking tools and develop KPIs and metrics to identify operational performance improvement opportunities • Serve as a Revenue Integrity subject matter expert for clients and team members • Collaborate with colleagues and client counterparts to address business challenges and adapt implementation methodologies • Monitor analytics and report trends in denials and procedural problems • Develop scalable transition plans to sustain improvements • Assist in developing and improving revenue cycle assessment and implementation methodologies • Evaluate current-state operations and create transition blueprints toward the desired future state • Establish measurable goals and priorities aligned with organizational objectives • Perform audits, consolidations, and standardizations of Charge Data Masters and Revenue Integrity workflows • Improve charge capture accuracy through workflow assessments, coding reviews, process improvements, and report generation • Use, protect, and disclose patients' protected health information in accordance with HIPAA • Comply with Information Security and HIPAA policies and procedures • Limit viewing of protected health information to the minimum necessary

🎯 Requisitos

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred • 7+ years of proven experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing • 7+ years of healthcare consulting experience • Proven success leading large-scale Revenue Integrity strategic development and implementations • Full understanding of charge capture and charge reconciliation processes, including electronic health record charge links to the CDM and charge capture processes • Professional certifications such as CPAM or CRCP, or demonstrated progress toward such certifications, a plus • Advanced Excel proficiency and experience in financial modeling and analysis • Advanced Microsoft PowerPoint and Word skills • Experience with SQL, SPSS, Power BI, benchmarking, and MGMA survey data a plus • Project leadership and workplan management experience for opportunity assessments within a consulting firm setting, focused on middle revenue cycle areas • Knowledge of state and federal governmental, legal, and regulatory provisions related to middle revenue cycle operations • Exceptional communication and interpersonal skills • Strong analytical and problem-solving abilities with a data-driven approach • Ability to adapt to a fast-paced, changing environment and manage multiple priorities and deadlines • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

🏖️ Benefícios

• Occasional travel and flexibility to work outside of normal business hours as needed • Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes