ZOLL Cardiac Management Solutions ยท 4 hours ago
Manager of Business Process Improvement
Pittsburgh, PA
Full-time
Hybrid
Mid, Senior Level
$110K/yr - $125K/yr
5+ years expZOLL Cardiac Management Solutions is dedicated to improving patient outcomes through innovative technologies. The Manager of Business Process Improvement will lead initiatives to create and implement a continuous improvement culture within Reimbursement Operations, focusing on optimizing processes and collaborating with various departments.
Medical Device
Responsibilities
Develops a thorough understanding of all functional processes within Reimbursement Operations
Primes complex process improvement initiatives affecting multiple functions within Reimbursement Operations
Identifies and eliminates non-value added steps in reimbursement processes, and works closely with a Project Manager and/or technical teams to prioritize
Collaborates with impacted business areas to reengineer and optimize business processes across all channels
Manages the development of standard operating processes and maintains an organized repository of these functions within SharePoint
Proactively identifies tools and standard operating procedures required to effectively process orders, create claims, manage denials and submit patient appeals
Consistently originates innovative ideas in order to find better ways of accomplishing operational objectives through process improvement
Challenges process assumptions to ensure conclusions reached are appropriate for a technical enhancements and other strategic initiatives
Manages the collects, documentation and presentation of functional user requirements
Oversees user acceptance testing procedures for technology implementations and enhancements that impact reimbursement processes
Identifies ongoing training needs and assist with developing and implementing the required training activities and learnings across the organization
Leads a team of Business Process Improvement Coordinators, Reimbursement Trainers and Business Process Analysts
Establishes metrics to monitor team performance as compared to established goals and targets for improvement initiatives
Effectively communicates project status and outcomes to senior leadership (verbally and in writing) and serves as an escalation point for process improvement initiatives
Prepares high-level status reports on a frequent basis for the Director and VP, Reimbursement Operations
Manages external vendor relationships
Qualification
Required
BS/BA in Business Administration, Finance, Information Technology or relevant area of study required
5+ years of experience in medical billing, healthcare revenue cycle management, or a related healthcare operations role required
Hands-on experience with API integrations, data transfers, and troubleshooting issues across multiple interconnected applications
Experience implementing new processes, identifying process gaps, and driving cross-functional change management
Proven track record in process improvement, workflow optimization, and operational efficiency initiatives within a healthcare or medical billing environment
Strong understanding of healthcare compliance standards (HIPAA, CMS guidelines) and payer requirements
Familiarity with medical billing software, EMR systems, and data analytics tools
Demonstrated ability to lead root cause analysis, develop corrective action plans, and manage complex technical workflows
Excellent communication skills for collaborating with IT, operations, and clinical teams
Preferred
Master's degree (MBA, MHA, or equivalent) preferred
Six Sigma or Lean certification preferred
Company
ZOLL Cardiac Management Solutions
ZOLL Cardiac Management Solutions (CMS), a division of ZOLL Medical Corporation, offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes in cardiac patient care.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase