Director, Patient Responsibility Vendor Operations

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Medsuite Inc

WebsiteLinkedInAll Job Openings

1 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • SaaS • HealthTech

Medsuite Inc. is a digital platform designed to streamline healthcare management and improve patient care. It provides tools for healthcare providers to manage patient records, appointments, and communications efficiently, all while prioritizing user-friendly access for patients and providers alike.

📋 Description

• Provide strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence • Direct and govern the entire self-pay vendor ecosystem, including coverage discovery, patient digital engagement, patient statements, payment solutions, and bad debt collections • Ensure end-to-end workflow excellence, vendor performance optimization, regulatory compliance, and measurable improvements in revenue capture and patient experience across all self-pay functions • Develop and implement comprehensive vendor strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives • Establish and maintain standardized Service Level Agreements (SLAs), Key Performance Indicators (KPIs), and governance frameworks for all vendor categories • Lead quarterly business review (QBR) meetings with key vendors and manage vendor contract negotiations, renewals, and escalation management • Build, mentor, and develop a high-performing team of Data & Performance Analysts and Workflow & Operations Analysts • Establish and monitor comprehensive performance dashboards tracking KPIs across all vendor categories and self-pay stages • Monitor end-to-end data flows between vendor systems and internal platforms to identify gaps, data quality issues, and timing failures • Partner with Client Success, Operations, Finance, Technology, and Compliance teams on process improvements and system implementations • Conduct vendor risk assessments, maintain contingency plans, and identify opportunities for vendor consolidation or replacement

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field (Master's degree preferred) • Minimum 7+ years of healthcare revenue cycle management experience • Minimum 5+ years of vendor management and contract negotiation experience in healthcare settings • Minimum 3+ years of direct people management and team leadership experience • Certified Revenue Cycle Executive (CRCE) or Certified Revenue Cycle Professional (CRCP) preferred • Advanced knowledge of end-to-end revenue cycle operations, particularly self-pay workflows • Expertise in vendor performance management, SLA development, and governance frameworks • Strong financial acumen and ability to analyze complex financial data and operational metrics • Advanced proficiency with data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar) • Experience with healthcare billing systems, EHR platforms, and related technology (Epic, Cerner, Athena, or similar) • Understanding of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines) • Strong problem-solving skills and ability to drive continuous improvement initiatives. • Strong oral, written, and interpersonal communication skills

🏖️ Benefits

• Eligible for Ventra performance-based incentive plan • Referral bonus