Director of Revenue Intelligence Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)

• Lead the development and adoption of advanced analytics and AI solutions to grow and protect revenue across the revenue cycle.

• Identify and prioritize new revenue opportunities using advanced analytics market trends and operational insights.

• Employ cutting-edge technologies (e.g. AI) to develop projections and create forward-looking models to predict revenue and cash flow streams.

• Monitor measure and report the outcomes of revenue initiatives ensuring accountability and continuous improvement.

• Communicate insights and results directly to senior leadership translating complex analyses into actionable strategies and clear ROI.

• Maintain strong understanding of revenue cycle metrics and build processes to enhance analytical capabilities process improvement identification and technology enhancements.

• Maintain strong understanding of various system functionalities and lead team in identifying and implementing improvements for performance workflow and cost-to-collect reduction.

• Define the vision and roadmap for enterprise revenue cycle analytics and intelligence with a focus on usability actionability and performance improvement.

• Work extensively in Epic particularly in areas like Hospital Billing (HB) and Professional Billing (PB) to design and optimize reports and analytics utilizing Epics data repositories (i.e. Clarity and Caboodle).

• Understand and document business/clinical needs and recommend appropriate solutions.

• Proficiency in SQL development using best practice industry standards to support revenue modeling and analytics

• Collaborate with finance operations DTP and clinical partners to align analytics priorities with strategic goals.

• Build effective collaborative relationships with key stakeholders across departments.

• Build and manage a high-performing team of revenue intelligence analysts.

• Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.

• Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.

• Establish and maintain strong working relationships with revenue cycle leaders key stakeholders and foster a strong working relationship with key strategic partners.

• Oversee data quality monitoring and continuous improvement programs and function as the voice of revenue intelligence and analytics within the revenue cycle.

• Provide leadership and support governance processes to result in effective efficient standardized and compliant practices across the revenue cycle.

• Maintain strong understanding of revenue performance metrics and payer mix.

• Ensure compliance with all HIPAA privacy and security standards.

• Conform to the established policies/ procedures/ processes/ Standards of Behavior.

• Performs other duties as required by the Senior Director of Revenue Recognition and Reporting.

• Bachelors degree in mathematics Actuarial Science Statistics or Computer Science; Masters preferred.
• 7 years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include strong analytical leadership and communication abilities as well as proficiency in data analysis financial management healthcare coding and understanding of regulatory requirements.
• Certification in Epic Clarity Data Model focusing on the clinical aspects.
• Certification in Epic Caboodle Data Model which is specifically designed for data warehousing and analytics within the Epic ecosystem.
• Demonstrated success in a large health system facility or multi-entity revenue cycle environment.
• Deep familiarity with patient accounting systems HER/EMR systems (e.g. Epic) and business intelligence tools (e.g. Tableau Microsoft Excel).
• Must have Epic certifications in Clarity and Caboodle data models and development experience in clinical revenue cycle & encounter data models.
• Extensive knowledge of healthcare/medical data such as hospital/physician claims utilization data and healthcare industry coding systems and revenue codes.
• Excellent interpersonal skills and experience working with senior management and other leaders along with the ability to communicate concepts to others without an IT background.
• Experience implementing data governance metadata management and reporting standardization with a proven ability to influence across departments.
• Strong leadership skills to motivate cross-departmental teams performance towards excellence using team concepts and consensus-building management styles.
• Demonstrated ability to engage in positive powerful persuasion with individuals or groups with diverse opinions and/ or agendas leading to outcomes that meet identified goals.
• Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue processes regardless of whether issues originate in an area under direct or indirect control.
• Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbents direct authority.
• The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
• Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
• Ability to develop and maintain effective relationships at all levels throughout the organization.

Computer Skills: MS Office Suite : Advanced