Adventist Health · 3 days ago
Director, Revenue Analytics (Columbia Gorge)
The Dalles, OR
Full-time
Onsite
Director/Executive
7+ years expAdventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii. The Director of Revenue Analytics will lead the Revenue Management department to maximize reimbursement and reduce denials through data-driven insights and collaboration with various stakeholders in the revenue cycle.
Elder CareHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Directs the weekly High Dollar Review process across multiple hospitals, coordinating with Patient Access, Case Management, Utilization Management, Billing, Patient Financial Services, and other revenue cycle disciplines to surface systemic gaps and improve reimbursement
Leads denial management strategy, including root cause analysis, denial prevention initiatives, and tracking resolution performance across all payer types
Coordinates with all stakeholders to ensure timely appeal submission and to strengthen payer accountability for overturning inappropriate denials
Monitors denial trends to identify systemic issues and drives corrective action to improve reimbursement outcomes
Identifies and removes barriers to clean claims, timely payment, and full reimbursement
Serves as key liaison between Finance, Payer Relations, Case Management, Utilization Management, and Revenue Cycle to ensure contracts are optimized, compliance maintained, and reimbursement risk mitigated
Collaborates in payer escalation and Joint Operating Committee forums, presenting data-driven cases to secure authorization processes, correct DOFR misalignments, and resolve denials
Oversees contract performance analytics, ensuring payer adjudication aligns with negotiated terms and flagging discrepancies
Reviews Aged Trial Balance (ATB) to identify reimbursement risks by payer behaviors, service line, and internal deficiency trends
Assists the Finance team to prepare and analyze AR Reserve, identifying trends that significantly impact net revenue
Builds, coaches, and mentors a high-performing analytics team that integrates clinical and financial insights to improve net revenue yield
Ensures timely completion of performance reviews, orientation, compliance training, and continuing education for staff
Maintains a supportive work environment through effective selection, orientation, management, and staff development
Interviews, hires, and trains employees in a timely manner
Performs other job-related duties as assigned
Qualification
Required
Bachelor's Degree or equivalent combination of education/related experience: Required
Seven years' related experience in A/R Management and/or Managed Care contracting and analysis, as well as experience directing a business office: Preferred
Five years' leadership experience: Preferred
Preferred
Master's Degree: Preferred
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
Kerry L. Heinrich
President and CEO
Recent News
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