Job Details

Company :

enGen

Job Description :

JOB SUMMARY

The Vice President, Revenue Cycle Client Delivery is responsible for leading client success across one or multiple clients. The VP maintains detailed knowledge of and may perform all duties of the Site Directors for assigned site(s) in addition to oversight, management, growth, and development of their onsite and offshore operations team. Ensures optimal performance and adherence with enGen's Client Delivery Management Model. The VP is closely involved with client engagement, performance improvement, strategic planning, and best practice integration across the Revenue Cycle, and works closely with enGen and Client Executive leadership to communicate results and escalations according to Ensemble's internal guidelines. The VP may act as the first or second tier point of contact for the client for all revenue cycle related requests.

ESSENTIAL RESPONSIBILITIES

Client Integration & Strategic Alignment

• Defines and establishes strategic direction, priorities, accountabilities, and ongoing quality improvement related to onsite Revenue Cycle operations in conjunction with Customer's Revenue Cycle operations leadership.

• Conducts client analyses and provides recommendations, requiring strategic innovative thinking skills, and complex cross-functional operations experience.

• Creates and maintains onsite operations strategic integration plans with clearly defined objectives, desired outcomes, and timelines of implementation.

Performance Management :

• Establish and maintain strong relationships with clients, understanding their unique RCM requirements, and ensuring high levels of client satisfaction.

• Act as the primary point of contact for client communication, addressing concerns, and providing regular updates on operational performance.

• Work closely with Revenue Cycle Managers on client escalations, using service-focused problem resolution actions and strategies. Actively address areas of concern, especially in the management of clients' A/R (accounts receivable) and KPIs, ensuring smooth service delivery.

• Analyze financial reports, dashboards, and A/R metrics to identify trends and emerging issues. Ensure that corrective actions are taken where necessary to address A/R concerns and enhance client revenue performance.

• Leverage KPI data to drive strategic focus on client retention, financial growth, and employee performance

• Develops long-range strategic plans for systems and processes that support a high performing, patient-centered revenue cycle.

• Develops strategies to identify root cause surrounding client issues and concerns and works with revenue cycle or onsite leadership at client site to create processes to address those issues and potential improvements.

• Maintains strong understanding of revenue cycle metrics and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.

• Develops strategy to impact poor performance and directs the implementation and client buy-in for recommended solutions.

• Develops/ adheres to specific objectives and performance standards as defined by client and statement of work, including but not limited to, AR aging, denial management and self-pay and POS collections / patient experience improvement.

• Responsible for influencing change related to the key functions of Revenue Cycle.

• Collaborates with various revenue cycle departments to obtain innovative initiatives to achieve optimal results.

• Identifies gaps in client support/performance and proposes solutions (e.g. technology, services) to drive performance improvement

Transition Management

• Oversee and manage the end-to-end transition of all in-scope revenue cycle processes, ensuring a smooth and efficient shift in delivery locations

• Ensure timely execution of transition plans, meeting timelines, and evaluating potential risks and mitigation plans

• Conduct in-depth Due Diligence and Process Assessments for Knowledge transfer. Scoping analyses of processes for Transition readiness and process documentation

Relationship Management

• Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results.

• Participates and leads program level meetings with program stakeholders.

• Works closely with CFO and other client leadership to support analysis, reporting and service line development

• Acts as Client Revenue Cycle expert and ensures prompt communication of emerging changes related to payer policies, contracting, regulatory updates and compliance requirements

• Facilitates monthly client meeting to review the revenue cycle operations performance and opportunities for improvement, strategic initiatives, partnership opportunities and escalated client support needs

• Provides weekly and monthly standard reports to client leadership.

• Promptly escalates operational and/or client concerns to Ensemble leadership

People Management :

• Build and lead a skilled RCM operations team, providing mentorship, training, and guidance.

• Foster a collaborative and performance-driven culture, encouraging innovation and teamwork.

• Develop strategies for team engagement and retention, ensuring the continuous development of a high-performing team

Quality Assurance :

• Implement robust quality assurance processes to ensure accuracy, compliance, and adherence to client-specific requirements.

• Conduct regular audits and performance reviews to maintain high-quality standards.

Performance Metrics :

• Establish and monitor key performance indicators (KPIs) to track and improve operational performance.

• Analyze data and metrics to identify areas for improvement and implement corrective actions.

Technology Integration :

• Leverage technology and automation tools to enhance RCM processes, streamline workflows, and improve overall efficiency.

• Collaborate with the automation team to identify opportunities for process automation, ensuring efficiency and scalability across operations

• Stay updated on industry trends and emerging technologies in RCM.

Compliance and Regulatory Oversight :

• Ensure strict adherence to healthcare regulations, data protection laws, and industry standards.

• Collaborate with compliance teams to conduct regular audits and maintain a culture of compliance.

Resource Planning and Budget Management :

• Develop resource planning strategies to meet client demands efficiently.

• Work with the Talent team to ensure the optimal staffing levels are maintained to meet client service expectations. Manage recruitment and resource planning efforts in alignment with organization annual planning process.

• Manage budgets effectively, identifying cost-saving opportunities while maintaining service quality.

EXPERIENCE

Required

• 15+ years of experience in Revenue Services/Revenue Cycle Management or related field

• 5+ years in a senior leadership role

Preferred

• Experience in managing RCM teams in a global, multi-site environment.

SKILLS

• Strong understanding of end-to-end RCM processes, including billing, coding, collections, claims processing, and payer relationships.

• Proven track record of driving process improvement and automation in RCM operations.

• Demonstrated ability to manage large teams, with a focus on performance management and talent development.

• Strong financial acumen, with the ability to analyze data and provide actionable insights for business growth.

• Excellent communication, leadership, and problem-solving skills, with a customer-centric approach to service delivery.

• Experience in working with cross-functional teams and a global workforce.

• Knowledge of industry regulations, payment trends, coding changes, and payer requirements.

• Proficiency with EPIC RCM software preferable but not mandatory, automation tools, and financial reporting systems, preferred

EDUCATION

Required

• Bachelor's degree

Preferred

• Advanced degree (MBA, MHA)

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• CPC, CPMA or other RCM certification

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$145,300.00

Pay Range Maximum:

$301,300.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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Req ID: J268077