Director, Patient Responsibility Vendor Operations

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Ventra Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2021

🏥 Santé

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Ventra Health est une entreprise de gestion du cycle des revenus de la santé (RCM) qui propose des services complets de facturation médicale, de codage, de gestion des réclamations, de prévention des refus, de contractualisation avec les payeurs et de recouvrement pour les hôpitaux, les systèmes de santé et les cabinets de médecins aux États-Unis. Ses offres combinent expertise du domaine et service client haut de gamme avec des plateformes propriétaires alimentées par des données et l'intelligence artificielle—vCision (IA & automatisation) et vSight (données & analyses)—pour améliorer le remboursement, réduire les refus, accélérer le recouvrement des créances et offrir des améliorations mesurables des performances RCM. Ventra met l'accent sur la prestation de services d'entreprise, la formation des prestataires, les audits de conformité et de codage, la gestion de la responsabilité des patients et la stratégie des payeurs, desservant des milliers de fournisseurs et d'installations à l'échelle nationale.

Description

• 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

🎯 Exigences

• 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) • Exceptional leadership, communication, and interpersonal skills • Ability to manage multiple priorities and stakeholder groups simultaneously • Strong problem-solving skills and ability to drive continuous improvement initiatives • Strategic thinking with ability to balance short-term operational needs with long-term goals • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) • Ability to read, understand, and apply state/federal laws, regulations, and policies • Ability to communicate with diverse personalities in a tactful, mature, and professional manner • Ability to remain flexible and work within a collaborative and fast paced environment • Strong oral, written, and interpersonal communication skills • Strong time management and organizational skills • Understand and comply with company policies and procedures.

🏖️ Avantages

• Ventra performance-based incentive plan • Referral Bonus