Purpose 

Accountable for the performance, regulatory readiness & results of large, strategic / diverse disciplines cross-functional teams or departments over a large functional domain or multiple HMs. Enables HM level strategy to address internal or external business & regulatory issues. Provide functional expertise & ensure fulfillment of performance & service standards. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Provides decision support, operations & / or optimization leadership focus. Responsible for making decisions & managing risk that impact day-to-day health ministry functional operations, with potential for a short- to mid-term impact on the enterprise. Oversees a direct staff that includes managers with direct reports 

Note: “patients” refers to patients, clients, residents, participants, customers, members  

Essential Functions   

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. 

Leadership: Providing advice, guidance & leadership to HM & Region leaders in developing strategies & in the achievement of performance goals. Enable collaboration across & within service area, HM & Regions to ensure consistency & integration of strategy & operations. 

Direction & Growth: Providing advice, guidance & leadership to service area, functional area, HM & Regions. Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice. Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend. 

Strategic Support & Accountability: Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives. Responsible for supporting regional efforts to comply with functional area priorities. Accountable for the selection, evaluation & overall success of the functional leadership teams.  Organization-wide focal point for establishing functional strategies & governance over financials & staffing. Accountable for communication between service area functional area, RHM & Region leaders. 

Operational Delivery: Responsible for measuring & reporting KPIs / metrics & value delivery. Providing advice, guidance & leadership for the colleague life cycle. 

Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. 

Functional Role (not inclusive of titles or advancement career progression) 

• Directs & provides strategic leadership & oversight for continuous optimization & performance improvement of Medical Group Revenue Cycle operations, including, registration, insurance Verification, point of service collections, authorizations, charge capture & charge controls, revenue integrity & optimization, coding & general practice revenue cycle operations; May have oversight for payer enrollment & credentialing & other practice related functions. 

• Directs the implementation of current & future best practices for revenue cycle functions to allow all practices to be efficient & market relevant, including overseeing the implementation & monitoring of adherence to payer contracts & procedures. 

• Directs in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas; Oversees budgets & targets allowing for financial oversight of the revenue cycle department functions. 

Minimum Qualifications 

• Bachelor’s degree in business or healthcare administration or an equivalent combination of education & experience. 

• Minimum of five (5) to seven (7) years of management experience in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience. 

• Solid understanding of ICD-10 & CPT coding & medical terminology. 

Additional Qualifications (nice to have) 

Epic experience preferred. 

Knowledge of accounting systems & insurance issues, healthcare industry issues and trends, legal issues in field of expertise, required third party & governmental guidelines & work processing. 

Physical & Mental Requirements & Working Conditions (General Summary)  

 Direct Healthcare Services / Indirect Healthcare / Support Services:   

• Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional  

• Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.).    Occasional  

• Exposure to or subject to noise, infectious waste, diseases & conditions.     Occasional  

• Exposure to interruptions, shifting priorities & stressful situations.      Frequent  

• Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects.     Continuous  

• Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise.    Frequent  

• Perform manual dexterity activities & / or grasping / handling.     Occasional  

• Ability to climb, kneel, crouch & / or operate foot controls.     Occasional 

• Use a computer / other technology.     Frequent  

• Sit with the ability to vary / adjust physical position or activity.     Continuous  

• Maintain a safe working environment & use available personal protective equipment (PPE).     Continuous  

• Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines.     Continuous  

• Ability to provide assistance in the event of an emergency. Occasional 

Indirect Healthcare / Support Services:  

• Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.     Occasional 

• Lift a maximum of 30 pounds unassisted.     Occasional  

• Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing.   Occasional 

• Encounter a clinical / patient facing / hands on interactive work environment.     Occasional  

• Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.     Continuous  

• Work outdoors with variable external environmental conditions.     Occasional 

Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)