Senior Director Strategic Initiatives

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Senior Director Strategic Initiatives

Location

Cleveland

Facility

Cleveland Clinic Main Campus

Department

Job Code

T99145

Shift

Days

Schedule

8:00am-5:00pm

Job Summary

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is a top-ranked hospital in the United States. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

The Senior Director Strategic Initiatives provides strategy, decision support, organizational planning and operational leadership for special revenue cycle operations for all Cleveland Clinic entities. This includes decision support and planning on reimbursement, billing, collection issues related to value based payments, bundled and episodic billing and follow up, international and decentralized billing processes, provider integration and related project management. Also included is revenue assurance and contract compliance to ensure that all revenue is accounted for and accurate reimbursements are received as well as revenue integrity. In addition, provides strategic direction and oversight to ensure all of RCM mergers, acquisitions and divestitures are completed on time and aligned with Cleveland Clinic practices.

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being, and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.

Job Details

Responsibilities:

• Provides strategic direction, leads innovations and operational enhancements/standardization by leveraging best practices and technology to create best in class value based reimbursement process to support payment innovations and strategy, episodic / bundled billing and decentralized billing operations (including home care, international billing, dental and specialized billing services).
• Develops a comprehensive revenue integrity and assurance strategy to ensure accurate capture of all services and revenue and assure that expected revenue is received from payer relationships, including charge master build and maintenance.
• Responsible for provider integration into revenue cycle operations for new sites, acquisitions or strategic relationships.
• Develops a comprehensive strategy to respond to current and future challenges presented by legislation, compliance, health care reform in order to monitor and address changing revenue cycle practices related to responsible areas.
• Demonstrates strong strategic thinking, collaboration, leadership, problem solving and communication skills with all levels of the organization. Demonstrates a consultative approach when working with physician partners, institute leaders, community hospital leadership, Market and Network Services and vendors to develop efficient, patient- focused solutions.
• Provides management supervision and direction for responsible areas.
• Accountable for operation of designated center to include: budget preparation, salary administration, equipment purchases, and establishment of annual goals and objectives.
• Assists billing operations to meet corporate goals for cash collections, net revenue comparisons, and billing expense.
• Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
• Other duties as assigned.

Education:

• Bachelor's degree in healthcare or business related field required.
• Master's degree preferred.

Certifications:

• None required.

Competencies (Complexity of Work):

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Work Experience:

• Ten or more years of progressive leadership and managerial experience in a large, multi-facility Hospital, Clinic or Group Practice Hospital (Physician led preferred).
• Extensive knowledge of operational revenue cycle management, reimbursement methodologies and related legislation.
• Ability to build engagement to drive effective results.
• Demonstrated successful project management skills.
• Must be highly organized and able to coordinate many simultaneous activities.
• Professional presentation, consulting and communication skills.

Physical Requirements:

• Ability to communicate and exchange accurate information.
• Ability to perform work in a stationary position for extended periods.
• Ability to work with physical records or operate a computer or other office equipment.
• In some locations, ability to travel throughout the hospital system.
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Please review the Equal Employment Opportunity poster.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities