University of Utah Health, Hospitals and Clinics, is seeking an experienced new Associate Executive Director for Revenue Cycle!

The Associate Executive Director, Revenue Cycle is responsible for strategic direction and overseeing the financial health and operational efficiency of the entire revenue cycle process across the University of Utah Hospitals and Clinics.

This role ensures seamless management of patient billing, insurance verification, claims processing, collections, health information, denials management and others. The position must maintain full compliance with increasingly complex external fraud, abuse, and other regulatory and legal risks associated with patient billing and collections. The incumbent acts as a catalyst between departments, faculty, physicians and staff to ensure continuity and quality of service.

This position has no responsibility for providing care for patients. 

Qualified applicants must have completed:

• Bachelor degree in Health Care Administration, Business Administration, or related area or equivalency.
• Six years of progressive management experience, preferably within an academic medical center or complex healthcare settings.

Additional education and experience that contribute to this role:

• Master's degree in Health Care Administration, Business Administration, or related area.

Corporate Overview:

University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system. 

Essential Functions

Strategic Leadership

• Develop and implement revenue cycle strategies that align with organization’s mission, financial goals, and operational objectives.
• Collaborate with senior and local leaders to identify revenue growth opportunities, enhance cash flow, and streamline processes for revenue collection.
• Lead initiatives that improve patient financial experience, aligning with the organization’s commitment to patient satisfaction.
• Regularly report on financial performance, revenue cycle metrics, and improvement initiatives to senior leadership.

Operational Oversight

• Direct the end-to-end revenue cycle operations, including patient registration, insurance verification, coding, billing, collections and denial management.
• Implement best practices to improve accuracy and efficiency in claim submission, reduce denials, and optimize reimbursement processes.
• Ensure compliance with all federal, state, and local regulations as well as internal policies regarding billing, coding, and reimbursement.
• Oversee the collection, analysis, and reporting of key revenue cycle performance indicators, ensuring data-driven decision-making.

Revenue Cycle Project/Program Management

• Provides leadership oversight for new market growth, system implementations, conversions, and upgrades for revenue cycle applications.
• Investigates and resolves complex problems and coordinates efforts to provide innovative strategies and solutions.
• Assesses new technology, performs vendor assessments, creates ROI analyses, and recommends new technology.
• Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, and fosters a strong working relationship with key strategic partners.
• Maintains strong understanding of revenue cycle metrics and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
• Maintains strong understanding of health information system functionality and leads team in identifying and implementing functionality that improves revenue cycle performance, streamlines workflow, and reduces cost-to-collect.

Revenue Cycle Risk Management

• Directs and/or oversees analysis of issues to identify developing issues/changes/potential risks with the potential to impact the medical center.
• Provides oversight to ensure there is active and effective participation in key medical center compliance committees.
• Collaborates with the medical center to develop strategies and recommendations to mitigate risk.
• Develops, maintains, and ensures compliance with standardized policies, processes, and programs throughout the organization.
• Provides oversight to ensure required reports are filed on time and meet the highest levels of accuracy, compliance, and effectiveness.
• Oversees activities to ensure communication, coordination, policies/protocols, and audits are monitored and effective.

Team Management

• Recruit, mentor, and develop a team of revenue cycle professionals, ensuring staff are trained and well-equipped to handle the demand of a healthcare setting.
• Foster a culture of continuous improvement, accountability, and collaboration within the revenue cycle team.
• Promote professional development opportunities to ensure team skills in revenue cycle management, regulatory compliance, and technology.

Financial Management

• Responsible for developing, monitoring and achieving budget goals.
• Manages labor and non-labor expenses to budget or flex budget.
• Manages revenue to budget to maximize potential revenue.

EPE/Service

• Responsible for patient satisfaction scores within assigned area(s).
• Responsible for upholding PROMISE standards of direct reports and team members.

Quality

• Responsible to achieve quality goals for assigned area(s).
• Manages and promotes continuous process improvements in assigned area(s).

Performance Management

• Responsible for providing staff feedback on performance, including on-time appraisals and coaching.
• Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.

Building Relationships

• Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.
• Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.

Knowledge & Skills

• Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting.
• Strong leadership skills to motivate cross-departmental teams’ performance towards excellence using team concepts and consensus-building management styles.
• Advanced/effective interpersonal, written/verbal communication, and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background.
• Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/or agendas, leading to outcomes that meet identified goals.
• Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue cycles processes, regardless of whether issues originate in an area under direct or indirect control.
• Ability to develop and maintain effective relationships at all levels throughout the organization.

Required Qualifications

• Bachelor degree in Health Care Administration, Business Administration, or related area or equivalency.
• Six years of progressive management experience, preferably within an academic medical center or complex healthcare settings.

• Master's degree in Health Care Administration, Business Administration, or related area.