Vice President, Revenue Cycle Management

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $202.3k - $250k / year

⏰ Full Time

🔴 Lead

👔 Vice President

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Modivcare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🚗 Transport

💰 $525M Post-IPO Debt on 2024-07

Healthcare • Healthcare Insurance • Transport

Modivcare is a company that focuses on simplifying the experience of living with complex healthcare needs by providing a comprehensive suite of supportive care solutions. They specialize in non-emergency medical transportation, personal care, and virtual & remote patient monitoring. Modivcare works closely with Medicaid Plans, State Agencies, Medicare Advantage, SNP Plans, health systems, healthcare professionals, and transportation providers, ensuring that members receive necessary health services. Through innovative technology and data-driven strategies, they address social determinants of health by offering services like quality transportation, chronic care management, meal delivery, and in-home assistance, aimed at optimizing patients' health outcomes and improving their overall experience.

📋 Description

• Develop and implement the strategic direction for the billing and claims department in alignment with company goals and objectives • Assess and optimize billing and claims processes to enhance efficiency, accuracy, and compliance, and ensure timely claim submissions • Ensure billing and claims activities adhere to industry regulations and company policies, including HIPAA • Implement quality assurance measures to reduce errors, denials, and rejections, and oversee resolution of complex billing and claims issues • Prepare and present comprehensive financial reports and analysis to the CFO, Business Unit Leader, and stakeholders • Manage relationships with third-party billing and claims service providers and ensure optimal performance • Develop and manage the department's budget, optimizing resources while maintaining high service levels • Collaborate with legal, compliance, internal stakeholders, and external partners to resolve complex claims issues • Stay abreast of emerging technologies and trends in billing and claims management and lead integration of innovative tools and systems • Lead projects and perform other duties as assigned • Determine appropriate staff resourcing to achieve goals and objectives • Build an effective senior leadership team through mentoring and formal education focused on management and project management principles • Define annual Key Performance Indicators aligned with corporate goals • Direct and mentor senior leaders on performance gaps, career development opportunities, and strategies • Direct and coach senior leaders on onboarding, performance management, succession planning, employee relations, selection, terminations, compensation, and rewards • Own strategic design, execution, collective results, and others' successful contributions • Drive employee satisfaction and retention through programs and initiatives • Direct and influence cross-functional change management initiatives to drive improvements and efficiencies • Collaborate and communicate effectively with external and internal customers and stakeholders to address issues and ensure organizational alignment • Prepare and manage budgets, analyze variances, and initiate corrective actions to maximize operational performance • Travel occasionally for business as required

🎯 Requirements

• Bachelor's Degree required; Master's Degree preferred • Fifteen (15) plus years progressive experience in billing and claims management • Ten (10) plus years leadership responsibility leading teams • Strong knowledge of industry regulations, compliance, and best practices • Exceptional leadership and people management skills • Excellent analytical, problem-solving, and decision-making abilities • Outstanding communication, negotiation, and interpersonal skills • Proven ability to build and maintain productive relationships with internal and external stakeholders • Proficiency in using billing and claims management software and systems • Highly organized and results-oriented with a keen eye for detail • Occasional business travel may be required • Ability to perform primarily seated work with extensive computer and telephone use, and occasional standing, walking, reaching, bending, and lifting up to 10 lbs.

🏖️ Benefits

• This role is bonus eligible based on individual and company performance • Medical, Dental, and Vision insurance • Employer Paid Basic Life Insurance and AD&D • Voluntary Life Insurance (Employee/Spouse/Child) • Health Care and Dependent Care Flexible Spending Accounts • Pre-Tax and Post-Tax Commuter and Parking Benefits • 401(k) Retirement Savings Plan with Company Match • Paid Time Off • Paid Parental Leave • Short-Term and Long-Term Disability • Tuition Reimbursement • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)