Director Denials - Remote

Description

Director Denials - This position works remotely and is open to candidates residing in AK, WA, MT, OR or CA.

The Director for the RCS Enterprise Clinical Denials team is responsible for all aspects of Revenue Cycle clinical denials with direct operational accountability for all Revenue Cycle clinical denials across the enterprise. The Director is responsible for assisting in the development of a strategic plan to establish an clinical denials center of excellence (COE) and oversee COE operations and meet the goals of the clinical denials program, in partnership with the leaders of PSJH RCS Services. This position will have responsibility for participation in the leadership of RCS Senior Managers and COE RN Case Managers to ensure clinical denial activities are standardized across Providence St. Joseph Health, and that all policies, procedures, and strategies adhere to the guidance and vision of the centralized Revenue Cycle function.

Required qualifications:

• Bachelor's Degree in Nursing; Registered Nurse, or equivalent combination of education and experience.




• 10 or more years related experience in healthcare, revenue cycle or finance.




• 10 or more years leadership experience, preferably with responsibilities that span multiple entities. Proven ability to work collaboratively in group settings with various stakeholders, including executive leadership and clinicians.




• Demonstrated experience with Clinical Denial Management and/or revenue cycle financial management in a healthcare setting.




• Experience working with 3rd party vendors to integrate and optimize business solutions.




• Demonstrated experience standardizing complex and disparate processes and maintaining common processes to standards across multiple facilities and in different settings.




• Healthcare business operations and/or financial management experience in a healthcare setting.

Preferred qualifications:

• Master's Degree in Business Administration or Healthcare Administration.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 128464

Company: Providence Jobs

Job Category: Revenue Cycle Operations

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 4001 SS RC REGULAT DENIAL

Address: CA Irvine 3345 Michelson Dr

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.