Director, RCM Shared Services
OneOncology
United States, California, Los Angeles
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Salary
$70,000 - $140,000 Per Year
Rank
Director
Responsibility
Functional Tower Lead
Scope
Regional
Workplace
Fully remote
Functions
HR
Reports to
Level
N-2
Travel Max:
30%
Posting Date
01-14-2025
Description
The Director, RCM Shared Services is responsible for the success and efficiency of practice-based revenue cycle management (RCM) teams, and internal OneOncology teams. This position will drive assigned RCM projects, quality assurance functions, utilize analytics to guide workflow optimization, and lead corporate in-house RCM teams. This position will also play a key role in optimizing our Western markets – providing a deeper level expertise on areas such as capitated payer contracts, IPAs, DOFRs, and other unique complexities of that market.
Key Responsibilities
- Define and implement policies and workflows in both new and existing OneOncology practices.
- Responsible for day-to-day operations of centralized RCM offerings for assigned shared service practice pods, including meeting KPI and performance goals.
- Oversee the quality processes that contribute to revenue cycle management.
- Responsible for direct leadership, training and performance of staff to establish and maintain best practices.
- Reviews and analyzes KPI reports, identifying trends to ensure quality problems have a corresponding action plan.
- Owner of system admin configuration for OneOncology-owned database tables as required.
- Identifies training needs and develops training materials, process maps, QRG’s and step by step instructions for OneOncology practices and vendors.
- Work with the analytics team to identify meaningful metrics for deep dive RCM review.
- Participate in committees and work alongside payer and finance teams to optimize revenue opportunities and assure appropriate accruals. Co-develop with various stakeholders RCM implementation plans specific to unique payer markets such as the Southern California payer segment (including but not limited to: capitated contracts, IPAs, DOFRs, etc)
- Review capitated contracts and relevant data for revenue optimization and identify leakage opportunities.
- Drive RCM projects and implementation efforts related to RCM delivery initiatives.
- Work closely with the Sr Director of RCM to identify priorities and deploy resources to optimize RCM performance and practice revenue.
- Ability to work in a matrix environment where multiple and competing customer demands are likely.
- Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.
Qualification & Requirements
- 5+ years in relevant healthcare and RCM leadership experience.
- Bachelor’s degree or equivalent experience required.
- Strong background in managed care payer market.
- Oncology experience a plus.
- Significant travel.
- Strong verbal and written communication skills required.
- Must be detail oriented and organized.
- Flatiron OncoEMR proficiency desired but not required.
- G4 Centricity proficiency desired but not required.
- Strong Microsoft suite skills required including Excel and PowerPoint.
- Knowledge of practice management software preferred.
- High integrity, including maintenance of confidential information.
- Based on business need, the ability to work a flexible schedule, including some evenings and weekends.
- Must be located in California.
Benefits
- Insurance Benefits
- Retirement Benefits
- Vacation Policy
- Other Perks and Benefits…
Company Profile
OneOncology
Industry
Hospitals and Health Care
Revenue
$38.7M
Employees
251
Fortune 500 Rank
NA
Global 500 Rank
NA
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