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Mount Sinai Health System · 2 months ago

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

New York, NY

Full-time

Hybrid

Director/Executive

$169K/yr - $254K/yr

7+ years exp

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, and they are seeking a Director of Revenue Intelligence to optimize financial performance using business intelligence and advanced analytics. The role involves developing strategies to improve revenue cycle processes, analyzing data for trends, and ensuring compliance and efficiency throughout the revenue cycle.

Health CareHospitalMedical

Responsibilities

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 Epic’s 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

Qualification

Healthcare analyticsRevenue cycle operationsEpic Clarity certificationEpic Caboodle certificationAdvanced analyticsData analysisFinancial managementHealthcare codingBusiness intelligence toolsSQL developmentLeadership skillsCommunication skillsInterpersonal skillsTeam managementProblem-solving

Required

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 incumbent's 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