SVP RCM Operations and Planning

Welcome to Ovation Healthcare! 

At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.  

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.  

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.  

Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.  

Summary:

The Vice President of Revenue Cycle is responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives and initiatives for respective clients. This position reviews and implements systematic approaches to maximize revenue and cash flow, and to ensure results are consistently delivered. This position also assists in providing leadership, management and development of the Ovation onsite operations team. The position is responsible through influence and direction to meet client performance expectations. This position is required to communicate organizational values and positive leadership to all associates within the organization.

Duties And Responsibilities:

• Defines and establishes strategic direction, priorities, accountabilities, and ongoing quality improvement related to onsite Revenue Cycle operations.
• Conducts client analyses and provides recommendations, requiring strategic innovative thinking skills, and complex cross-functional operations experience.
• Creates and maintains onsite operations strategic integration plans with clearly defined objectives, desired outcomes, and timelines of implementation.
• Articulates in writing plans with client deliverables, timelines and formal tracking process.
• Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results.
• Participates and leads program level meetings with program stakeholders.
• Responsible for influencing change related to the key functions of Revenue Cycle.
• Leads initiatives to resolve problematic trends and process questions to resolve difficult account issues as needed.
• Manages meetings with client leadership for metric, performance and review.
• Develops strategies to identify root cause surrounding client issues and concerns and works with revenue cycle or onsite leadership at client site to create processes to address those issues and potential improvements.
• Oversees the daily results of client metrics.
• Oversight of Operations, including but not limited to:
• Client-Facing
• Responsible for management of Revenue Cycle On-Site Directors at the client site
• Develops/ adheres to specific objectives and performance standards as defined by client and by Corporate CRM in each area of responsibility.
• Presentation of Key Performance Indicators
• Direct oversight to improve operational performance in both the client setting and the centralized environments.
• Provide overall direction for successful completion of projects.
• Direct authority of all leadership involved in revenue cycle operations that are physically located onsite at client. This includes but is not limited to:
• Performance evaluation
• Skill set enhancement
• Accountability to KPIs
• Growth plans and team development
• Coordinates with client management on initiatives related AR aging, denial management and self-pay and POS collections / patient experience improvement.
• Assists client leadership in understanding back-office metrics, tools, and reports.
• Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, Medicaid eligibility, HIM, and Case Management.
• Participates, drives, and organizes sales opportunities and client deliverables surrounding revenue cycle.
• Monitors cash flow to ensure achievement of client goals as well as closely manage to SLA requirements
• Provides weekly and monthly standard reports to client leadership.
• Reviews performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in Ovation Service Level Agreements.
• Informs Ovation and client leadership of any significant issues in the Patient Access and Back Office areas (e.g., Pre-registration delays, pre-authorization backlogs, cash posting backlogs, cash delays etc.) and monitors progress to resolution.
• Proactively plans for succession in key positions and lead the planning for coverage when vacancies occur (utilize float pools where applicable) to eliminate negative impact to facilities experiencing vacancies. Participates in candidate identification and consideration when filling open positions. Leads the process for onboarding new leadership at assigned locations.
• Performs staff reviews and prepares performance documents for direct reports
• Participates in monthly client conference calls; provide updates on rotational basis and highlights key challenges and/or successes to share best practices across Ovation and clients. Attends calls to obtain latest information on corporate initiatives and provide appropriate updates back to Ovation
• Other duties as assigned
• Facilitates monthly onsite meeting to review the MOR. Monitors AR aging and identifies process issues/improvements in areas such as billing, collections, overall vendor performance, collection agency, and payment compliance

Knowledge, Skills And Abilities:

• Exhibits strong strategic, analytical, project management, communication and team leadership skills.
• Willingness to learn new technology, tools, and procedures to address short term and long challenges.
• Ability to build and maintain relationships with key internal and external stakeholders.
• Participates in the organization’s continuing reassessment of its growth and operational efficiencies.
• Communicates effectively while presenting complex information to technical and non-technical audiences.
• Demonstrates the ability to maintain standards of confidentiality.
• Understanding of organization context and be able to identify and engage relevant stakeholders to remove barriers.
• The ability to lead revenue cycle operations strategically and tactically.
• Strong operational and financial management skills, including the ability to analyze and resolve issues.
• Complex knowledge of the impact of revenue cycle and accounts receivable management upon operating performance.