Vanderbilt University Medical Center · 12 hours ago
Director, Revenue Cycle Payment Integrity (EPIC exp required) - REMOTE
United States
Full-time
Remote
Director/Executive
7+ years expVanderbilt University Medical Center is a community focused on changing the world through teaching, discovery, and patient care. The Director of Payment Integrity is responsible for overseeing strategies to analyze reimbursement, identify payment variances, and implement initiatives to recover lost revenue in the healthcare sector.
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Responsibilities
Develop goals and objectives for the department based on interpretation of institutional policy and goals
Plan to achieve goals or establish priorities
Help department understand, share and support the vision
Initiate changes in or develop new policies, procedures and/or methods
Analyze long-range impact of decisions and plans
Ensure the most effective operations of the department through program development, process improvement and coordination/integration of processes with other departments
Design, implement, evaluate and market programs to maximize clinical outcomes, functional status, patient/customer satisfaction and reimbursement
Standardize services, processes, resources, and practice to improve efficiency
Supervision to include responsibility for planning, coordinating, and controlling the work and procedures; provide advice/consultation to staff regarding problems
Adjust work schedules or project priorities to meet emergencies or changing conditions
Participate on departmental and/or interdepartmental committees to address problems and facilitate information exchange about programs, problems, etc. Provide information to others (oral or written) to explain/clarify problems, issues or requests
Participate in periodic management meetings to keep top management informed of department problems and concerns
Analyze and evaluate ongoing department programs to identify areas where adjustments/improvements are needed
Develop staffing plans to ensure developmental objectives are being met
Define and achieve financial targets in support of business goals of the institution
Prepare an annual operating budget for a unit or department, including direct labor, material and supplies, services, equipment maintenance and replacement
Present and justify a proposed budget (operating and capital expenditure) to a management review committee
Evaluate organizational functions and structures to best determine the allocation and utilization of resources
Analyze and evaluate budget variance to determine cause
Prepare justification or develop alternatives for cost containment/reduction
Project future budgets based upon analysis of current operations
Create and exceed service standards utilizing key service dimension and from knowledge of patient/customer expectations and best practice
Establish service standards for the department and determine if service standards are compatible with financial targets
Ensure that the service standards are met or exceeded by utilizing customer satisfaction, best practices and market information to improve customer service and satisfaction
Create an organizational culture (both within and across departments) that provides a safe, satisfying and enriching environment for employees and provides a qualified, competent staff to meet patient needs
Provide leadership to promulgate the mission and the values of the institution to the department
Model behavior consistent with the mission, vision, and values of the enterprise through leading, coordinating projects, innovation, initiating improvement, and developing new programs
Demonstrate a leadership style that is facilitative and collaborative
Communicate within and across departments to maximize effectiveness, efficiently and information sharing
Ensures all Human Resource and VUMC policies and procedures are followed according to standards
Define the qualifications and performance expectations for all staff positions through the Performance Development system, including department specific job descriptions, measurable performance standards
Create an environment that encourages and supports self-development and learning for all staff through regular feedback, by assuring the development of staff through orientation, training programs, work experiences and assessing competencies by meeting the performance expectations stated in his or her job description in a timely manner (normally annually)
Identify, establish and evaluate quality assurance standards, programs, and procedures within department
Establish and evaluate standards of performance to ensure safe, effective, and efficient operation of the department
Ensure that standards are met within area of responsibility to assure clinical enterprise accreditation/licensure
Qualification
Required
7 years of relevant work experience
Bachelor's degree
Comprehensive understanding of healthcare reimbursement methodologies
Knowledge of payer and regulatory policies
Experience in revenue cycle management
Ability to develop goals and objectives for the department
Experience in planning and establishing priorities
Ability to initiate changes in or develop new policies, procedures and/or methods
Experience in analyzing long-range impact of decisions and plans
Ability to ensure effective operations of the department through program development and process improvement
Experience in designing, implementing, evaluating and marketing programs
Ability to standardize services, processes, resources, and practices to improve efficiency
Experience in supervising and coordinating work and procedures
Ability to adjust work schedules or project priorities to meet emergencies or changing conditions
Experience in participating on departmental and/or interdepartmental committees
Ability to analyze and evaluate ongoing department programs
Experience in developing staffing plans
Ability to define and achieve financial targets
Experience in preparing an annual operating budget
Ability to present and justify a proposed budget to a management review committee
Experience in evaluating organizational functions and structures
Ability to analyze and evaluate budget variance
Experience in preparing justification or developing alternatives for cost containment/reduction
Ability to project future budgets based upon analysis of current operations
Experience in creating and exceeding service standards
Ability to establish service standards for the department
Experience in ensuring that service standards are met or exceeded
Ability to create an organizational culture that provides a safe and enriching environment for employees
Experience in providing leadership to promulgate the mission and values of the institution
Ability to model behavior consistent with the mission, vision, and values of the enterprise
Experience in communicating within and across departments
Ability to ensure all Human Resource and VUMC policies and procedures are followed
Experience in defining qualifications and performance expectations for all staff positions
Ability to create an environment that encourages self-development and learning for all staff
Experience in identifying, establishing and evaluating quality assurance standards
Ability to establish and evaluate standards of performance
Experience in ensuring that standards are met within area of responsibility
Company
Vanderbilt University Medical Center
Vanderbilt University Medical Center is a nonprofit institution specializing in patient care, research, and nobility in medical education.
10001+ employees
H1B Sponsorship
Vanderbilt University Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (92)
2024 (74)
2023 (73)
2022 (113)
2021 (96)
2020 (70)
Funding
Current Stage
Late StageTotal Funding
$35.3MKey Investors
National Institute on AgingAdvanced Research Projects Agency for HealthGordon and Betty Moore Foundation
2025-07-02Grant· $25M
2024-11-15Grant· $3.3M
2024-09-13Grant
Leadership Team
Wright Pinson
Deputy CEO and Chief Health System Officer
Cecelia Moore
Chief Financial Officer & Treasurer
Recent News
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