Description:
JOB PURPOSE:
Directs the business and financial operations for all organ transplant and bridge to transplant programs, as well as for other programs in the transplant service line. Provides support to leadership in strategic planning and analysis, project facilitation, outreach and marketing, productivity, and operations improvement.
KEY RESPONSIBILITIES:
- Oversees and manages the reporting and accuracy of transplant-related charges and direct expenses to optimize organ acquisition reimbursement while ensuring compliance with CMS guidelines.
- Develops, operationalizes, and evaluates strategic initiatives.
- Collaborates with department managers to develop appropriate workload standards and achieve desired productivity metrics.
- Evaluates and manages business and financial operations, working to continuously improve efficiency and minimize waste.
- Analyzes financial, volume, and market data.
- Collaborates with managed care leaders to develop transplant-related contracts that optimize reimbursement.
- Implements and manages billing and payment processes.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelor in Business or Finance.
MINIMUM EXPERIENCE REQUIRED:
Seven years experience in financial services or service line business operations.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None.
ADDITIONAL QUALIFICATIONS:
Current knowledge of healthcare and the financial impact of the managed care environment. Knowledge of the transplant contracting, billing, and reimbursement. Ability to lead and manage committees, staffing responsibilities, and team projects. Prior experience with EPIC/Phoenix EHRs preferred.
Masters degree in business or health related field preferred.