This pivotal role requires a seasoned leader with a proven track record of driving strategic initiatives and achieving tangible results in healthcare revenue cycle management. As the Senior Director, you will be responsible for orchestrating a comprehensive approach to revenue cycle optimization, with a primary focus on denial management, hospital billing, and follow-up processes. Your strategic vision and operational expertise will play a critical role in safeguarding our financial health and ensuring sustainable growth in an increasingly complex healthcare landscape.

Responsibilities:

1. Strategic Leadership and Vision: Develop and articulate a comprehensive vision for denial management and prevention that integrates with the organization's broader strategic objectives. Lead the development and implementation of long-term strategies, ensuring alignment with industry trends, regulatory changes, and emerging technologies.
2. Team Development and Talent Management: Cultivate a culture of excellence within the denial management, hospital billing, and follow-up teams. Develop and nurture talent through mentoring, coaching, and professional development initiatives. Foster a collaborative and innovative environment that encourages team members to contribute ideas and solutions.
3. Advanced Denial Analysis and Root Cause Identification: Utilize advanced data analytics tools and methodologies to conduct in-depth analysis of denial trends and root causes. Implement predictive modeling techniques to anticipate potential denial issues and proactively address them before they escalate. Collaborate with data scientists and business intelligence experts to develop predictive algorithms and machine learning models.
4. Cross-Functional Collaboration and Stakeholder Engagement: Forge strong partnerships with clinical leaders, department heads, and key stakeholders across the organization. Facilitate regular meetings and working groups to promote collaboration and knowledge sharing. Serve as a trusted advisor to senior leadership, providing insights and recommendations on denial management strategies and revenue optimization initiatives.
5. Innovative Technology Integration and Optimization: Evaluate, select, and implement cutting-edge technology solutions to enhance denial management workflows and streamline billing processes. Lead the implementation of advanced revenue cycle management (RCM) systems, artificial intelligence (AI) tools, and robotic process automation (RPA) platforms. Drive continuous optimization efforts to maximize the efficiency and effectiveness of technology investments.
6. Regulatory Compliance and Risk Mitigation: Maintain a thorough understanding of complex healthcare regulations, including Medicare, Medicaid, and commercial payer guidelines. Develop robust compliance programs and internal controls to mitigate regulatory risks and ensure adherence to billing and documentation requirements. Collaborate with legal counsel and compliance officers to address potential compliance issues and resolve regulatory inquiries.
7. Global Revenue Cycle Optimization and Performance Enhancement: Take a holistic approach to revenue cycle management, identifying opportunities for process improvement and performance enhancement across the entire revenue cycle continuum. Implement best practices in revenue integrity, charge capture, coding accuracy, and claims processing. Lead initiatives to optimize revenue cycle workflows, reduce revenue leakage, and accelerate cash flow.
8. Strategic Vendor Management and Partnerships: Evaluate and negotiate contracts with third-party vendors, outsourcing partners, and revenue cycle management consultants. Establish service level agreements (SLAs) and key performance indicators (KPIs) to monitor vendor performance and ensure accountability. Cultivate strategic partnerships with industry-leading vendors and technology providers to drive innovation and achieve operational excellence.
9. Executive Reporting and Performance Metrics: Develop comprehensive dashboards and executive-level reports to communicate key performance metrics, denial trends, and financial outcomes to senior leadership and board members. Present findings and recommendations in a clear, concise, and compelling manner, leveraging data visualization techniques and storytelling principles. Drive data-driven decision-making processes and promote a culture of transparency and accountability.
10. Thought Leadership and Industry Engagement: Serve as a thought leader and subject matter expert in denial management, revenue cycle optimization, and healthcare finance. Stay abreast of industry trends, best practices, and emerging technologies through active participation in professional associations, conferences, and educational forums. Contribute thought leadership articles, white papers, and case studies to industry publications and peer-reviewed journals.

Bachelor's degree in business or a related field and a minimum of 10 years of related experience in a hospital or health-care related environment, which includes at least 8 years' experience in major healthcare system or Healthcare consulting firm required.

Preference will be given to individuals with prior experience as a Director, Revenue Cycle. 

The preferred qualifications are as follows:

A Master's degree is strongly preferred. Advanced certification in healthcare is desirable. Broad expertise in healthcare management, healthcare operations, change management and systems preferred. Experience on non-clinical operational efficiency improvements, care process/procedural standardization improvements, and/or improved patient outcome activities are preferred. Well-disciplined in quality improvement methodology. Demonstrated ability to relate to, gain support of, and drive consensus with clinicians and administrators for the purpose of operational efficiency improvements related to patient experience, financial results and care process improvement. Must have significant facilitation skills and persistence in gaining physician leadership and clinical/technical support for the implementation of organizational strategies. Demonstrated knowledge of revenue cycle accounting processes, cost/benefit analysis and strategic planning. Must be capable of independent work, with little to no guidance provided exercising good judgment, creating an environment in which people communicate with each other respectfully, solving problems, and growing personally and professionally. Must be an advocate of change management, effectively communicating and implementing change and managing it proactively in order to minimize disruption to the Practice, patients and revenue cycle operations. Must be an individual of high integrity, comfortable working in a team environment, possessing vision, solving problems through effective planning and management. Experience in making and implementing decisions in a complex, consensus-oriented environment required. Must have excellent negotiation skills with external and internal constituencies and a thorough knowledge of industry best practices to continually enhance and improve revenue cycle processes. Promotes teamwork and seeks to maximize the potential of all employees. Demonstrated oral and written communication, interpersonal and customer service skills are essential. Able to effectively communicate Revenue Cycle strategies and initiatives to internal management groups and business partners, including MC executive leadership and industry and Fortune 100 company leaders. Must be proficient with software programs (Excel, Word, etc.). 

This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position.Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program.

This position will accept applications until June 30, 2024.  This deadline may be extended if the necessary candidate pool is not met by this date.