Vice President, Transformation Services – Patient Access

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Oversee enterprise-wide Patient Access transformation projects for healthcare system clients, guiding them from assessment to sustained performance enhancement.

• Lead, mentor, and develop a high-performing, diverse team.

• Create and implement strategic transformation roadmaps aimed at enhancing revenue yield, cash flow, operational efficiency, and the patient financial experience.

• Collaborate with internal and hospital leadership to discover and prioritize opportunities for performance improvement.

• Perform operational assessments across scheduling, registration, financial clearance, authorization, eligibility, patient financial services, and digital access.

• Design and implement best-practice operating models to enhance quality, productivity, standardization, and scalability.

• Spearhead front-end revenue integrity initiatives to minimize preventable denials, enhance clean claim rates, and improve reimbursement performance.

• Direct initiatives related to prior authorization, insurance verification, medical necessity compliance, financial counseling, point-of-service collections, and financial assistance processes.

• Utilize analytics and benchmarking to identify performance gaps, quantify financial opportunities, and prioritize transformation initiatives.

• Measure and communicate business value through improvements in revenue yield, cash flow, cost-to-collect, labor productivity, and patient satisfaction.

• Drive organizational change by introducing new processes, performance expectations, and accountability frameworks.

• Keep abreast of healthcare regulations, reimbursement trends, emerging technologies, and industry best practices.

• Establish standardized transformation methodologies, playbooks, and best practices for client engagements.

• Handle, protect, and disclose patients’ PHI in compliance with HIPAA standards.

• Adhere to Information Security and HIPAA policies and procedures.

• Limit access to PHI to the minimum necessary for performing assigned duties.

• Carry out additional duties as assigned.

⛳️ Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field is preferred.

• Over 10 years of experience in a leadership position within revenue cycle services, ideally in a hospital-based healthcare setting.

• Strong comprehension of revenue cycle management principles and practices.

• Familiarity with state and federal legal and regulatory requirements related to front-end, middle, and backend revenue cycle operations.

• Exceptional leadership abilities, including the capability to motivate, mentor, and cultivate a high-performing team.

• Proficient in revenue cycle management systems, electronic health records (EHR), and client management tools.

• Capacity to thrive in a fast-paced, ever-changing environment while managing multiple priorities and deadlines efficiently.

• Proficiency in Microsoft Office Suite.

• Strong interpersonal skills with the ability to communicate effectively at all organizational levels.

• Excellent problem-solving and creative abilities, with sound judgment and the capacity to make decisions based on prompt and accurate analyses.

• High level of integrity and reliability, combined with a strong sense of urgency and results-driven focus.

• Outstanding written and verbal communication skills are required.

• Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

🏝️ Benefits

• Occasional travel may be necessary.

• Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.