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Director Of Sales jobs at Kisco Senior Living

- 1400 jobs
  • Sales Director

    Kisco Senior Living 4.2company rating

    Director of sales job at Kisco Senior Living

    The Sales Director at Valencia Terrace, a Kisco Senior Living community, is responsible for the entire sales process that reinforces the community's brand reputation, increases awareness of the community's services and programs, develops prospective residents and achieves maximum revenue goals. What will I do every day? Connect with prospective customers and contacts on a regular basis Manage the sales process by maintaining a viable waitlist Organize strategic and exciting outreach events to promote the community Conduct Business Development with local community professional organizations Perform market analysis and develop an effective sales strategy Develop a vibrant sales culture Analyze sales reports and other data to further improve sales ratios and revenue production Manage apartment inventory effectively Develop and manage the Sales budget to operational guidelines Perform other related duties as required What will I need to be successful in this role? Be a great team player Bachelor's Degree 3 to 5 years' sales experience with excellent closing results Previous experience working with seniors is a plus Strong communication skills What's in it for me? (Great Question!) Excellent on-target earning potential which includes $85,000/yr plus bonuses and uncapped commissions Healthcare Benefits including Vision & Dental (Full-time only) Matching 401k (Full-time only) Paid Time Off Rewards and Bonus Opportunities Continuous Training and Growth Opportunities A free meal each shift What do we do? We create a great place to live for our residents and a great place to work for our associates. Kisco Senior Living has been a dynamic, award-winning leader in the senior living industry for the past 30 years. All offers of employment are subject to satisfying our pre-employment process which includes: successfully passing a drug screen, TB Test and Background Check *Kisco Senior Living is an Equal Opportunity Employer
    $107k-135k yearly est. Auto-Apply 22d ago
  • Director of Market Operations

    Sage Dental 3.6company rating

    Altamonte Springs, FL jobs

    Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow! At Sage, people are at the core of everything we do. We are looking for dynamic and talented professionals who fit our culture of innovative technology, constant learning, and patient-centric care to join our team. If you are ready to take the next step in your career and want a position with excellent earning potential with a stable, growing company, Sage Dental has what you are looking for. Overview Due to our ongoing success and as we position ourselves for further growth, Sage Dental is hiring an experienced Director of Market Operations in the Ocala area! The Director of Market Operations oversees daily operations for a group of multi-specialty dental practices and provides leadership, direction and support to the Office Managers to ensure financial and operational success. Deliverables will include gaining the trust and respect of Office Managers, maintaining compliance to procedure and protocols in the office, and providing strong financial results while keeping the focus on Patient Care and Patient Satisfaction. Qualifications Three to five years related multi-unit dental office supervisory experience Working knowledge of financial statements Ability to establish strong relationships with internal and external stakeholders Independent self-starter with the ability to work well with other team members Strong knowledge of dental practice management software, Dentrix preferred Working knowledge of Microsoft Office products Willingness to work outside of normal business hours Willingness to regularly travel throughout the assigned area Must reside in the local area or be willing to relocate
    $85k-115k yearly est. 3d ago
  • Sales Director

    Quest Diagnostics 4.4company rating

    Annapolis, MD jobs

    We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It's about providing clarity and hope. The Sales Director is a front-line sales leader responsible for execution of the commercial sales strategy for profitable growth in geographic area for general and specialized laboratory sales and service representatives. This is a field-based sales leadership position covering Washington DC, eastern Maryland, and Delaware. Hire and retain an effective sales team of Account Executives and Account Managers Coach, motivate and develop sales talent Establish regional action plans and market strategies Set metrics and accountability standards to drive performance towards goals Manage and measure sales force performance and provide feedback to reps Conduct district analytics and market intelligence Marshal and manage resources to solve problems and achieve plans Support key account development Provide input to regional marketing efforts Accountabilities/Metrics: Development and execution of sales plan Achievement of quota (retention and growth) Client attrition Price realization Selling costs Sales force attrition Talent development targets (pipeline, hiring, training) Knowledge: Knows the healthcare industry (payors/providers) and general economics of business Diagnostics/laboratory experience Leading/coaching direct reports Skills: Solid PC skills including Outlook, Excel, Salesforce.com, SAVO Education: Bachelor's degree (Required)
    $90k-120k yearly est. 2d ago
  • VP of Sales - Health Plans

    Somatus 4.5company rating

    Orlando, FL jobs

    As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexible PTO Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! As a Vice President of Business Development, you will drive new logo growth and sales pipeline development while playing a key role in the continued growth of the company. You will support strategic initiatives working with health plans, employer groups, ACOs, hospitals and health systems, provider groups, and other healthcare organizations. Build, own, and maintain a robust pipeline of qualified opportunities by cultivating executive-level relationships with payors, ACOs, Health Systems, and other strategic partners Work closely with company leadership to lead and coordinate complex deal execution and strategy in a fast-paced, competitive, and entrepreneurial environment Deliver measurable revenue and membership growth by rapidly advancing opportunities through all stages of the sales pipeline to contract execution Represent the company at industry events and client meetings to promote thought leadership, and drive new business opportunities Develop effective outbound content and thought leadership in partnership with the marketing team Stay up to date on knowledge of industry trends, market intelligence, and state/federal regulations and programs Lead proposal writing efforts to demonstrate company capabilities and secure new business opportunities Provide real-time pipeline and relationship updates, forecast accuracy, and growth reporting to executive leadership with a focus on transparency, urgency, and outcomes Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. 7-10 years of relevant experience in business development, enterprise sales, consulting, or commercial role working with health plans, provider groups, or other healthcare organizations Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level Commercial acumen and a proven track record of driving new business development and creatively structuring agreements Ability to connect with diverse constituents and stakeholders across cross-functional teams (leadership, marketing, account management, new product development, data and analytics, market operations, finance and clinical) Demonstrated success driving new revenue growth and closing favorable deals with national and regional payors, ACOs, and other risk-bearing entities Experience developing compelling presentations using Microsoft PowerPoint Salesforce experience Travel to HQ in McLean, Virginia and client locations
    $74k-121k yearly est. 5d ago
  • Business Development Executive

    Family Tree Private Care 3.8company rating

    Denver, CO jobs

    Family Tree Private Care, established in 2011, specializes in providing high-quality private care for seniors, enabling them to age comfortably at home. Operating across multiple states, the company offers a comprehensive range of services, including professional caregiving, private nursing, and care management. Family Tree Private Care focuses on helping seniors maintain their independence through every stage of the aging process, prioritizing their well-being and quality of life. Role Description This is a full-time hybrid role, based in Denver, CO, with flexibility for some remote work. The Business Development Executive will be responsible for identifying and pursuing new business opportunities, generating and managing leads, and developing and maintaining strong client relationships. Additional responsibilities include managing key accounts, communicating effectively with clients and team members, and contributing to the growth and success of the company's business objectives. Qualifications Proven experience in New Business Development and Lead Generation Strong Business and Account Management skills Excellent Communication and interpersonal skills Proven ability to meet and exceed sales targets Bachelor's degree in Business, Marketing, or a related field preferred Familiarity with the caregiving or healthcare industry is a plus Strong organizational and time management skills
    $42k-55k yearly est. 3d ago
  • Hospice sales manager

    Healthcare Recruiters International 3.7company rating

    Maryland jobs

    Director of Business Development - Hospice Coverage Territory: Montgomery County, MD & Washington, DC Employment Type: Full-time, Permanent A nationally recognized leader in post-acute care services, including home health and hospice, has partnered with HCRI to identify an exceptional Director of Business Development to lead hospice growth initiatives. This role will oversee a hospice sales team and will be responsible for driving admissions growth, strengthening referral relationships, and supporting excellence in hospice care delivery. Qualifications Bachelor's degree in Marketing, Sales, or a related field (preferred) Prior hospice sales management experience required Proven ability to lead, direct, and motivate a professional sales team Skilled in designing and delivering effective training and in-service sessions Experience creating or facilitating staff development programs Knowledge of healthcare regulations, compliance requirements, and hospice industry standards Responsibilities Develop and implement strategic business development initiatives to expand hospice service volumes and enhance referral patterns Recruit, mentor, and lead a high-performing hospice sales team to achieve organizational goals Design, deliver, and maintain training programs and in-service presentations for referral partners and internal teams Analyze referral data to identify trends, opportunities, and areas for strategic improvement Build and maintain strong relationships with community partners, healthcare providers, and referral sources Compensation & Benefits Salary + Bonus Plan: $120,000 - $150,000 Comprehensive health benefits package Generous Paid Time Off 401(k) with up to 6% employer match Mileage reimbursement
    $67k-114k yearly est. 3d ago
  • Sales Manager

    All Star Healthcare Solutions 3.8company rating

    Boca Raton, FL jobs

    Important notice: currently available to those in the 35-mile radius of our office in Boca Raton, FL. Ready to lead a high-performing sales team and drive growth? Join All Star Healthcare Solutions as a Sales Manager and play a pivotal role in shaping success. You'll guide and inspire a team of talented professionals, foster strong client relationships, and deliver results that align with our core values of loyalty, trust, and long-term success. Work from All Star's brand-new headquarters at BRIC, a state-of-the-art campus featuring onsite daycare, a fitness center, and a free Tri-Rail shuttle. Plus, we've invested in Salesforce, the world's #1 CRM platform, giving you and your team powerful tools and training to maximize performance. If you're passionate about leadership and driving revenue, this is your opportunity to make an impact. Essential Duties & Responsibilities • Lead weekly meetings with Sales Consultants to review activity, progress, strategies, and achievements. • Provide coaching and mentorship to Team Captains to maximize production. • Conduct regular one-on-one and side-by-side coaching sessions to drive accountability and performance. • Recruit, interview, and train Sales Consultants to build a high-performing team. • Develop and maintain strong relationships with physicians and clients through collaboration and frequent communication. • Monitor and analyze sales processes to ensure compliance with company standards. • Source physicians nationwide using cold calling, database tools, and internet research. • Match physicians to client sites based on skill level, licensing, credentials, and regulatory requirements. • Participate in negotiations for physician placement opportunities. • Support physicians throughout the recruitment process, including offers, negotiations, relocation, and contract signing. • Maintain and expand a client database to support ongoing business development. • Achieve defined sales quotas by initiating and maintaining client relationships. • Ensure compliance with company objectives and government regulations. • Direct and support consistent implementation of company initiatives. • Perform other duties as assigned by leadership. Skills & Abilities • Strong persuasive and influential communication skills (verbal and written). • Proven ability to meet and exceed strict sales goals in a competitive environment. • Skilled at building rapport with physicians and clients. • Effective negotiation and conflict resolution skills. • Excellent time management and organizational abilities. Education & Experience • Bachelor's degree in Business Administration, Marketing, Communication, Management, or related field (or equivalent combination of education and experience). • Minimum of 4 years in a sales-driven environment required. • Supervisory or team leadership experience preferred. • Prior healthcare staffing experience strongly preferred. • Working knowledge of medical terminology and physician specialties. Awards • SIA Largest Healthcare Staffing Firms in the US • SIA Largest Staffing Firms in the US • SIA Best Staffing Firms to Work For • Modern Healthcare Best Places to Work in Healthcare • Sun Sentinel Top Workplaces in South Florida • South Florida Business Journal Business of the Year Finalist • ClearlyRated Best of Staffing Client & Talent Satisfaction Awards Ready to Lead and Make an Impact? If you're a driven sales leader with a passion for healthcare staffing and the ability to inspire high-performing teams, we want to hear from you! Join us in shaping the future of locum tenens staffing while building lasting relationships with physicians and clients nationwide
    $63k-104k yearly est. 5d ago
  • Director of Revenue Cycle

    The Moorings Park Institute Incorporated 3.9company rating

    Naples, FL jobs

    Moorings Park is looking for a Director of Revenue Cycle. The Director of Revenue Cycle is responsible for the overall strategy, analysis and implementation of the entire revenue cycle for Moorings Park's multi-campus Continuing Care Retirement Community that includes Independent Living, Assisted Living, Skilled Nursing, Outpatient Therapy, a Home Health Agency, and a Concierge Physicians Practice. This role manages all aspects of billing, cash posting, accounts receivable, payer setup, and contract approval. It ensures accurate and compliant revenue recognition, timely collections, and accountability for all billing processes-including those managed by a third-party billing company The Director of Revenue Cycle is hands-on, directly posting private pay cash receipts, cross-training staff, and serving as a subject matter expert on the EMR billing system. They are responsible for the financial qualification of prospective residents, approval of resident contracts, and customer-facing billing inquiries, making them a key partner in maintaining trust with residents, families, and partners. The role is fully remote and supervises a geographically dispersed team of remote partners. CANDIDATE MUST LIVE IN THE STATE OF FLORIDA - We will not consider any out of state applicants for this position - Contributions: Revenue Cycle Leadership & Vendor Oversight Lead and manage the revenue cycle across all business lines, including billing, collections, cash posting, and accounts receivable oversight. Serve as the primary liaison to the outsourced billing company, holding them accountable to contractual service levels and organizational goals. Supervise internal billing team members, providing leadership, training, and performance management in a fully remote work environment. Continuously evaluate revenue cycle performance, ensuring accuracy, compliance, and process efficiency. Cash Posting & Billing Oversight Personally post private pay cash receipts; ensuring daily and monthly reconciliation of all accounts receivable related deposits. Responsible for the oversight, reconciliation, and quarterly audits of the Patient Trust funds at the Skilled Nursing Facility and Assisted Living Facility, ensuring compliance with organizational standards and state regulations. Responsible for the oversight and monthly reconciliation of the Advance Deposit account ensuring that funds are applied and transferred in a timely manner. Train and cross-train team members on cash posting procedures to ensure adequate coverage. Oversee accurate and timely billing processes for private pay accounts while coordinating with third-party billing partners for Medicare and insurance claims. Monitor accounts receivable aging and work to resolve outstanding balances quickly. Systems & Data Expertise Serve as the subject matter expert and administrator for the EMR billing platform and clearinghouse, including payer setup, workflow configurations, and optimization. Partner with IT to implement system updates and enhancements that improve efficiency and reduce errors. Ensure data integrity across all billing and resident financial systems. Resident Contract and Financial Qualification Review and approve all resident contracts, ensuring compliance with organizational standards and state regulations. Evaluate prospective residents' financial documentation, making recommendations on acceptance and financial qualification. Enter resident contracts into the resident database, ensuring complete accuracy and appropriate recognition of amortization income and deferred revenue. Regularly reconcile database entries to financial statements to ensure accuracy of reported revenue. Customer Service & Stakeholder Communication Respond promptly and professionally to inquiries from residents, families, and coworkers regarding billing or contracts. Provide clear explanations of billing, contracts, and financial obligations to support resident trust and satisfaction. Serves as the billing expert for the Organization, stays informed of all Medicare and Insurance regulations and changes that may impact the Organization; stays up to date on industry best practices Works closely with community health care administrators and admissions teams; is the lead on trainings and status of receivables. Compliance, Audits & Reporting Ensure compliance with HIPAA and all relevant healthcare regulations. Assist with all financial statement audits, cost reports, bond reporting, and other external reviews. Implement and maintain strong internal controls to ensure compliance and safeguard financial integrity. Responsible for the creation, implementation and monitoring of policies and procedures across the Organization to ensure accurate and timely billing and collections; serves as the lead on any task force or project groups related to billing. Responsible for the development and monitoring of key performance indicators to ensure accountability and high performance. Job Requirements: Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field (Master's preferred). Minimum of 5 years' progressive revenue cycle management experience in a multi-service healthcare organization; CCRC or post-acute experience strongly preferred. Expertise with EMR billing systems, clearinghouses, payer setup, and data integrity management. Deep understanding of Medicare billing practices, payer contracts, and healthcare revenue recognition. Strong leadership experience, including managing vendor relationships and supervising a team. Excellent financial analysis and communication skills, with the ability to explain complex billing matters to non-financial stakeholders. Demonstrated knowledge of HIPAA regulations, internal controls, and audit processes. Advanced Microsoft Excel skills; ability to create dashboards and financial reports. Key Competencies: Strategic and hands-on management style, balancing leadership with day-to-day operational expertise. Ability to navigate a complex, multi-site organization with multiple lines of business. Strong problem-solving skills, attention to detail, and a focus on accuracy. High emotional intelligence and a resident-centered mindset. Ability to lead remote teams effectively and foster accountability. Commitment to continuous improvement, compliance, and organizational mission. Moorings Park Communities, a renowned Life Plan organization includes three unique campuses located in Naples, Florida. We offer Simply the Best workplaces through a culture of compassionate care for both our residents and our partners. Simply the Best Benefits for our partners include: FREE health and dental insurance FREE Telemedicine for medical and behavioral health Vision insurance, company paid life insurance and short-term disability. Generous PTO program HSA with employer contribution Retirement plan with employer match Tuition reimbursement program Wellness program with free access to on-site gym Corporate discounts Employee assistance program Caring executive leadership
    $60k-79k yearly est. Auto-Apply 60d+ ago
  • Revenue Cycle Director

    Grand River Health Main Campus 4.3company rating

    Rifle, CO jobs

    Grand River Health | Rifle, CO At Grand River, we are more than a hospital - we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect, friendliness, and a shared commitment to exceptional patient care. Grand River Health is looking for a Director of Revenue Cycle to oversee all revenue cycle operations, from patient access through final billing and collections. This role supports financial stability for the organization and works closely with clinical and administrative teams to keep processes accurate, efficient, and patient-friendly. What You'll Do Oversee registration, scheduling, billing, payer relations, and customer service working closely with directors and managers of each department. Manage daily revenue cycle activities including charge capture, billing, A/R, collections, denials, and cash posting Review staff work for accuracy and timeliness Track key measures such as Days in A/R, clean claim rate, denial rate, collections, and payer performance Identify and implement improvements to strengthen financial performance Maintain a consistent denials management process Update workflows, policies, and procedures as needed Ensure compliance with payer rules, state and federal regulations, CMS guidance, and internal policies Support accurate and timely financial close processes Handle escalated issues involving patients or insurance carriers and coordinate with the CFO on matters requiring policy changes Work with leadership to set financial goals and support system and technology updates Lead, train, support, and evaluate revenue cycle team members What We Offer Our total rewards package includes Pay Range: $135,000 - $165,000 (based on experience) Comprehensive Benefits: Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more Perks: Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more! Compensation may vary outside this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience. Position is open until filled unless posted otherwise. Why Join Grand River Health? As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population. OUR MISSION: To improve the health and well-being of the communities we serve. OUR VISION: To be our communities' first choice in quality healthcare.
    $135k-165k yearly Auto-Apply 31d ago
  • Director of Revenue Cycle

    Arrowhead Orthopaedics 4.2company rating

    Redlands, CA jobs

    The Director of Revenue Cycle is responsible for overseeing all aspects of the revenue cycle process within the organization, including patient access, billing, collections, coding, reimbursement, and compliance. This position ensures that revenue cycle operations align with federal and state regulations, payer requirements, and organizational financial goals. The Director will lead teams across patient financial services, health information management, and billing functions to optimize efficiency, reduce denials, and maximize revenue capture. DISTINGUISHING CHARACTERISTICS This role requires a highly strategic leader with expertise in healthcare finance, regulatory compliance, payer relations, and revenue cycle technology. The Director must balance operational leadership with regulatory knowledge (e.g., CMS, HIPAA, Medi-Cal, Medicare, and commercial payers), while maintaining strong communication with clinical and administrative departments. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: The following are exemplary essential job duties and responsibilities and are not intended to represent an all-inclusive listing of related essential functions of the position. Leadership & Strategy Ā· Develop and implement revenue cycle strategies to ensure timely and accurate billing, collections, and reimbursement. Ā· Lead, mentor, and evaluate teams in patient access, billing, coding, and collections. Ā· Collaborate with clinical and administrative leaders to improve workflows affecting reimbursement. Financial Performance Ā· Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, collection efficiency, and cash flow. Ā· Develop revenue cycle dashboards and reports for executive leadership. Ā· Identify areas for process improvement and implement corrective actions. Compliance & Risk Management Ā· Ensure adherence to state and federal regulations (California Department of Health Care Services, Medi-Cal, Medicare, HIPAA). Ā· Maintain compliance with payer contracts, coding regulations, and billing requirements. Ā· Lead internal audits and respond to payer audits or inquiries. Revenue Integrity & Technology Ā· Oversee charge capture, coding accuracy, and documentation improvement initiatives. Ā· Implement and optimize revenue cycle technologies, including EHR and billing systems. Ā· Partner with IT and compliance departments to strengthen revenue integrity. Stakeholder Engagement Ā· Serve as primary liaison between the organization and third-party payers. Ā· Develop and maintain effective communication with patients regarding financial responsibilities. Ā· Educate clinical and administrative staff on revenue cycle best practices. OTHER WORK AS REQUIRED/REQUESTED May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations. MINIMUM & PREFERRED QUALIFICATIONS: Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position. Skills, Knowledge & Abilities Ā· Advanced knowledge of revenue cycle processes, payer regulations, and healthcare reimbursement. Ā· Strong financial and analytical skills, with ability to interpret complex data. Ā· Excellent leadership, communication, and conflict resolution skills. Ā· Ability to work collaboratively with physicians, administrators, and external stakeholders. Ā· Strong problem-solving skills with an emphasis on process improvement Requirements Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Salary Description $120,000 - $140,000 / annual
    $120k-140k yearly 60d+ ago
  • Director of Revenue Cycle

    Arrowhead Orthopaedics 4.2company rating

    California jobs

    Requirements Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Salary Description $120,000 - $140,000 / annual
    $120k-140k yearly 20d ago
  • Director, Revenue Cycle Innovation

    Alameda Health System 4.4company rating

    San Leandro, CA jobs

    + San Leandro, CA + Fairmont Hospital + AMB Call and Referral Center + Full Time - Day + Management + $69.06 - 115.14/Hour + Req #:42568-31596 + FTE:1 **Alameda Health System offers outstanding benefits that include:** + 100% employer health plan for employees and their eligible dependents + Unique benefit offerings that are partially or 100% employer paid + Rich and varied retirement plans and the ability to participate in multiple plans. + Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards. **DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. + Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems. + Work with operations and IT to develop automation strategies that align with business objectives. + Work directly with clients to assess workflow challenges and develop customized automation scenarios. + Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance. + Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement. + Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently. + Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups. + Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI. + Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy. + Provides guidance and training to clients on automation tools, workflows, and best practices. + Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines). + Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support. + Other duties as assigned. + Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. **MINIMUM QUALIFICATIONS:** + Education: Bachelor's degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred. + Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing. + Preferred Experience: 3+ years of experience with behavioral health services. Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.
    $69.1-115.1 hourly 60d+ ago
  • Revenue Cycle Director

    Gunnison Valley Health System 4.2company rating

    Gunnison, CO jobs

    Director of Revenue Cycle - relocation assistance and stable, employer provided, affordable housing for up to 2 years! 150 top places to work in healthcare|2025 Becker's Hospital Review Benefits: Here at Gunnison Valley Health, your good work will be rewarded. In addition to a competitive salary, a generous and affordable medical/dental/vision plan, and a dollar for dollar 401(a) match, up to 3%, there are other great perks including: * $250 in your first year toward your unique Lifestyle Spending Account, matched retirement starting on day 1, and a dependent care matching plan * A culture that values continuing education, backed up by a robust tuition reimbursement plan, and an all-access subscription to LinkedIn Learning and Headspace. * Paid time off benefits with an accrual rate of 10.77% in your first year of employment * Access to mental health, financial health and wellness as well as life coaching with our Employee Assistance Program * Free nutrition consultations, and discounted fitness membership at Western Colorado University Fieldhouse * Deep discounts on food and drink in the cafeteria * No traffic, and a scenic commute to the office Health System Overview: Gunnison Valley Health is the sole community-owned health system for Gunnison County and surrounding areas. We are not just a hospital, but a fully integrated health system providing services for all stages of life; from an award winning EMS department to a 52,000 square foot, state of the art senior care center and everything in between. We are a leading health source for our community, offering wellness programs, medical education and illness prevention. We are looking for an experienced Revenue Cycle Director who has been working in the day-to-day operations of Patient Revenue Services in the healthcare setting for over 5 years. If you are passionate about the capture, management, and collection of revenue for hospital and physician billing services, this could be the position for you! Where you'll live: Some define happiness by their job title and salary, while others pursue quality of life. Our community combines the best of both worlds by fostering a growing outdoor industry business hub in the heart of Colorado's Rocky Mountains. The Gunnison Valley, which includes the towns of Gunnison and Crested Butte, is a vibrant community of entrepreneurs and adventurers. We are deeply connected with our surrounding environment, neighbors, and growing community. This is the kind of place where hard work is rewarded, whether that means a day on the mountain or at the office. Requirements: To be seriously considered for this role, you'll need to have: * Education: Bachelors Degree preferred * Experience: Minimum of (5) five years revenue cycle managerial experience. Critical access hospital experience preferred. Personnel supervisory experience required. AAHAM Certified Revenue Cycle Executive or Certified Healthcare Professional preferred. Responsibilities: As the Director of Revenue Cycle at Gunnison Valley Health, you will assume responsibility for the direction of registration, medical records, chart audit, coding, billing, compliance and customer service activities. You'll develop processes and systems using a team approach to improve financial performance. You'll utilize your unique skills and ideas by: * Working with Senior Leadership to establish financial goals and objectives for the organization. * Participating in strategic and operational plans in conjunction with the GVH philosophy, policies, goals and mission. * Leading and developing your team which will include training, development and evaluation. * Overseeing several departments including Patient Financial Services, Customer Service and Admissions * Identifying potential areas of compliance vulnerability and working with Senior Leadership to develop corrective action plans for resolution. * Participating in hospital wide performance improvement teams and keeping staff abreast of progress and outcomes. Compensation: $2494 - $3055/weekly depending on experience Physical Requirements: Occasionally - Standing, change position, reaching, reach across midline, crouching/squatting, stooping, stairs, lifting (0-20 lbs), carrying (0-20 lbs), pushing/pulling (20-50 lbs) Frequently - Walking, sitting, handling, pinching Continuously - must be able to see with corrective eyewear, must be able to hear clearly with assistance Benefits Eligibility Medical, dental, vision, health care FSA, dependent care FSA, and Lifestyle Spending Account: All active employees working 40 or more hours per pay period in a Full Time or Part Time position are eligible for benefits on the first of the month after hire. Full Time staff are automatically enrolled in 401A plan as of date of hire. Life and AD&D insurance: All active employees working 40 or more hours per pay period are eligible for benefits on the first of the month after hire date. Short-term and long-term disability: All active employees working 60 or more hours per pay period are eligible for benefits on the first of the month after hire date.
    $2.5k-3.1k weekly 60d+ ago
  • Revenue Cycle Director

    Gunnison Valley Health 4.2company rating

    Gunnison, CO jobs

    Director of Revenue Cycle - 150 top places to work in healthcare|2025 Becker's Hospital Review Benefits: Here at Gunnison Valley Health, your good work will be rewarded. In addition to a competitive salary, a generous and affordable medical/dental/vision plan, and a dollar for dollar 401(a) match, up to 3%, there are other great perks including: $250 in your first year toward your unique Lifestyle Spending Account, matched retirement starting on day 1, and a dependent care matching plan A culture that values continuing education, backed up by a robust tuition reimbursement plan, and an all-access subscription to LinkedIn Learning and Headspace. Paid time off benefits with an accrual rate of 10.77% in your first year of employment Access to mental health, financial health and wellness as well as life coaching with our Employee Assistance Program Free nutrition consultations, and discounted fitness membership at Western Colorado University Fieldhouse Deep discounts on food and drink in the cafeteria No traffic, and a scenic commute to the office Health System Overview: Gunnison Valley Health is the sole community-owned health system for Gunnison County and surrounding areas. We are not just a hospital, but a fully integrated health system providing services for all stages of life; from an award winning EMS department to a 52,000 square foot, state of the art senior care center and everything in between. We are a leading health source for our community, offering wellness programs, medical education and illness prevention. We are looking for an experienced Revenue Cycle Director who has been working in the day-to-day operations of Patient Revenue Services in the healthcare setting for over 5 years. If you are passionate about the capture, management, and collection of revenue for hospital and physician billing services, this could be the position for you! Where you'll live: Some define happiness by their job title and salary, while others pursue quality of life. Our community combines the best of both worlds by fostering a growing outdoor industry business hub in the heart of Colorado's Rocky Mountains. The Gunnison Valley, which includes the towns of Gunnison and Crested Butte, is a vibrant community of entrepreneurs and adventurers. We are deeply connected with our surrounding environment, neighbors, and growing community. This is the kind of place where hard work is rewarded, whether that means a day on the mountain or at the office. Requirements: To be seriously considered for this role, you'll need to have: Education: Bachelors Degree preferred Experience: Minimum of (5) five years revenue cycle managerial experience. Critical access hospital experience preferred. Personnel supervisory experience required. AAHAM Certified Revenue Cycle Executive or Certified Healthcare Professional preferred. Responsibilities: As the Director of Revenue Cycle at Gunnison Valley Health, you will assume responsibility for the direction of registration, medical records, chart audit, coding, billing, compliance and customer service activities. You'll develop processes and systems using a team approach to improve financial performance. You'll utilize your unique skills and ideas by: Working with Senior Leadership to establish financial goals and objectives for the organization. Participating in strategic and operational plans in conjunction with the GVH philosophy, policies, goals and mission. Leading and developing your team which will include training, development and evaluation. Overseeing several departments including Patient Financial Services, Customer Service and Admissions Identifying potential areas of compliance vulnerability and working with Senior Leadership to develop corrective action plans for resolution. Participating in hospital wide performance improvement teams and keeping staff abreast of progress and outcomes. Compensation: $2494 - $3055/weekly depending on experience Physical Requirements: Occasionally - Standing, change position, reaching, reach across midline, crouching/squatting, stooping, stairs, lifting (0-20 lbs), carrying (0-20 lbs), pushing/pulling (20-50 lbs) Frequently - Walking, sitting, handling, pinching Continuously - must be able to see with corrective eyewear, must be able to hear clearly with assistance Benefits Eligibility Medical, dental, vision, health care FSA, dependent care FSA, and Lifestyle Spending Account: All active employees working 40 or more hours per pay period in a Full Time or Part Time position are eligible for benefits on the first of the month after hire. Full Time staff are automatically enrolled in 401A plan as of date of hire. Life and AD&D insurance: All active employees working 40 or more hours per pay period are eligible for benefits on the first of the month after hire date. Short-term and long-term disability: All active employees working 60 or more hours per pay period are eligible for benefits on the first of the month after hire date.
    $2.5k-3.1k weekly 60d+ ago
  • Director of Sales and Marketing

    Harmony Senior Services 3.5company rating

    Waldorf, MD jobs

    STATEMENT OF JOB: The Sales and Marketing Director will oversee the internal and external marketing efforts of the community in order to meet or exceed the budgeted census. Responsibilities include but are not limited to: First Impressions: Adhere to Harmony Senior Services Way to ensure building readiness, including Daily Tour Route Readiness Develop model room according to protocols Train all staff on achieving the best first impressions with residents, family and prospects, to include staff training on telephone etiquette Market Planning: Develop quarterly marketing plan in concert with marketing team, in compliance with corporate standards Complete all marketing reports in a timely manner Lead internal marketing meetings Sales Process: Manage all inquiries personally when in the building Provide staff training for Inquiry Handling by phone and in person according to corporate guidelines Ensure bench strength and leadership availability for inquiries and tours in the absence of the Sales and Marketing Director Provide customer service training as part of the orientation of all new hires and at least annually to all staff Promote all appropriate sales enhancements Respond to all information gathered from the Mystery Shopping Program to improve inquiry handling Lead Tracking and Follow-Up: Use lead tracking system to document all contacts with prospects Respond to inquiries within an appropriate time frame: 1 business day or before close of business each day Identify needs, barriers, and next steps for each inquiry Generate required reports related to marketing activity by using lead tracking system Referral Development: Conduct external marketing calls according to corporate schedule, and dependent on census Enter calls in lead tracking system Follow-up on all external calls Host community events according to predetermined schedule Establish, promote and/or work with senior care support groups Promote the community as a meeting space for local groups Build community relationships through participation in networking groups at least 1x weekly Serve as educational spokesperson on aging and health issues Develop Resident Referrals through promotion of incentives and housewarming parties
    $57k-83k yearly est. 1d ago
  • Director of Revenue Cycle

    Ophthalmic Consultants of Boston 3.4company rating

    Plymouth, MA jobs

    Job DescriptionJoin a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston Are you a strategic, hands-on leader ready to take charge of high-volume, multi-department healthcare operations? Ophthalmic Consultants of Boston (OCB), a nationally recognized ophthalmology practice, is looking for a dynamic and experienced Director of Revenue Cycle & Billing to lead our talented team and optimize financial performance across the organization. This full-time, onsite leadership opportunity is perfect for a motivated professional passionate about revenue cycle innovation, team development, and operational excellence in a complex healthcare environment. The locations available for this position are Plymouth, Waltham, and Boston. Why Join OCB? OCB has a longstanding reputation for clinical excellence and compassionate care. We offer a collaborative environment where your expertise in healthcare revenue cycle management can make a meaningful impact on both patient experience and organizational success. Your Role: As Director of Revenue Cycle & Billing, you'll oversee a broad scope of operations, including: Front Desk, Credentialing, Billing, and Claims Management Ensuring accuracy and timeliness of medical claims, denials, and self-pay collections Managing prior authorizations and insurance appeals with a solutions-focused mindset Hiring, training, and leading cross-functional teams, fostering professional growth and collaboration Utilizing Epic Resolute as the primary billing system and supporting physicians and staff in its use Creating and managing KPIs, performance dashboards, and revenue forecasting Driving strategic initiatives to boost revenue, reduce costs, and maintain compliance What You Bring: Bachelor's degree in Healthcare Administration, Business, Finance, or related field 7-10 years of progressive revenue cycle experience, including 3+ years in a director-level role Expertise in billing operations, payer relations, call center leadership, and staff development Deep understanding of coding standards (ICD-10, CPT, HCPCS) and insurance processes Proficiency with EHR and PM systems like Epic, Athenahealth, eClinicalWorks, or NextGen Strong communication and leadership skills to work across departments and with executive teams Perks & Benefits: Health & Dental Insurance - effective day one Paid Time Off & Holidays 401(k) with Company Contribution Flexible Spending & Dependent Care Accounts Company-paid Life and LTD Insurance Employee Discounts and Perks Ready to lead, inspire, and innovate at one of the region's top ophthalmology practices? šŸ‘‰ Apply today and help us shape the future of patient-focused financial operations at OCB. To learn more, visit ****************** OCB is proud to be an Equal Opportunity Employer. Powered by JazzHR R78RcEneN8
    $77k-93k yearly est. 28d ago
  • Director of Revenue Cycle

    APLA Health 3.8company rating

    Los Angeles, CA jobs

    Under the direction of the Chief Financial Officer, the Director of Revenue Cycle manages front-end patient registration, coding, billing, and collections to maximize reimbursement and ensure compliance, particularly with Medicaid and Medicare Prospective Payment Systems (PPS). Key responsibilities include overseeing claims processing, minimizing denials, managing payer contracts and relationships, ensuring regulatory compliance, and providing strategic leadership for the entire revenue cycle. The role requires strong leadership, analytical skills, and expertise in FQHC-specific (Federally Qualified Health Center) billing and coding requirements. This position supervises the Revenue Cycle Manager and the Enrollment and Eligibility Manager. ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide overall direction for APLA Health's revenue cycle operations. Develop, implement and oversee effective billing and collections procedures Oversee all aspects of patient enrollment, insurance verification, coding, billing, claims processing, and payment posting. Ensure adherence to all FQHC-specific federal, state, and payer regulations, including HRSA guidelines. Ensure sliding fees are followed and calculated annually (posted and internal EHR system). Manage the configuration of all electronic billing systems to ensure proper functioning for effective and efficient billing and collection processes. Maintain fee schedules. Develop, implement and oversee procedures to ensure coding accuracy. Ensure timely monthly close. Prepare and distribute end-of-the-month management reports Provide support and training to practitioners to ensure accurate and timely filing of claims. Analyze claims data and implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers). Track and report metrics related to the patient engagement cycle including recording coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Maintain and manage all applicable registrations and periodic reporting for CMS (Medicare and Medicaid). Assist in preparing, validating and submitting Revenue Cycle information for the Medicare Cost Reports Work closely with the Chief Medical Officer, Chief Nursing Officer, Chief Clinical Operations Officer, Chief Dental Officer, and Chief Behavioral Health Officer to coordinate patient billing and payment requirements. Balance and reconcile bank deposits for Patient Accounts Receivable. Works with the CFO to develop processes and procedures for the efficient and successful flow of information between the billing department and clinical departments. Executes upon key strategies and performance indicators to drive the collection of earned reimbursement. Implement and maintain policies and procedures to ensure the proper investigation and resolution of denied or rejected claims. Oversee the submission and reconciliation of Medicare and Medicaid claims and PPS cost reports to secure accurate reimbursement. Implement strategies to reduce claim denials and manage the appeals process to recover lost revenue. Manage relationships with third-party billing vendors and negotiate and manage contracts with insurance payers. Track and report on key performance indicators (KPIs) such as days in accounts receivable, denial rates, and clean claim rates to drive improvements. Lead, mentor, and train revenue cycle staff and enrollment staff to ensure efficient and compliant operations. Drive continuous improvement initiatives to optimize workflows, systems, and financial performance. OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS. REQUIREMENTS: Training and Experience: * Bachelor's Degree in a Healthcare, Quality Assurance, or related field required. * A minimum of 10 years of relevant experience, with no less than 7 years in an FQHC. * Minimum of 5 years' experience managing staff. * Experience with the provider credentialing process preferred. * Experience with dental billing is highly preferred. * Proficiency with healthcare billing software and revenue cycle management tools required. * Proficiency in Microsoft Excel. Knowledge of: * Medicare, Medicaid, HMO, PPO, Managed Care, Workers Comp, and Tricare * FQHC revenue cycle and billing requirements. * Professional fee billing, reimbursement and third-party payer regulation and medical terminology * Regulatory requirements pertaining to health care operations and their impact on operations * Healthcare regulations (e.g., HIPAA, CMS guidelines). Ability to: * Manage time effectively, including prioritizing multiple projects with conflicting deadlines. * Operate as an effective tactical and strategic thinker. * Motivate, mentor, and coach staff. * Produce high-quality work. * Exercise judgment and make independent decisions. * Think critically and solve problems. * Communicate effectively, persuasively and professionally, in both written and verbal forms, with a wide range of individuals, organizations and funding sources. * Make sound judgments in dealing with sensitive and confidential issues. * WORKING CONDITIONS/PHYSICAL REQUIREMENTS: This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper. SPECIAL REQUIREMENTS: Must possess a valid California driver's license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID vaccination and booster required or medical/religious exemption. APLA Health is an EEO Employer
    $86k-131k yearly est. 17d ago
  • Director, Revenue Cycle Innovation

    Alameda Health System 4.4company rating

    San Leandro, CA jobs

    Alameda Health System offers outstanding benefits that include: * 100% employer health plan for employees and their eligible dependents * Unique benefit offerings that are partially or 100% employer paid * Rich and varied retirement plans and the ability to participate in multiple plans. * Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. * Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems. * Work with operations and IT to develop automation strategies that align with business objectives. * Work directly with clients to assess workflow challenges and develop customized automation scenarios. * Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance. * Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement. * Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently. * Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups. * Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI. * Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy. * Provides guidance and training to clients on automation tools, workflows, and best practices. * Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines). * Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support. * Other duties as assigned. * Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. MINIMUM QUALIFICATIONS: * Education: Bachelor's degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred. * Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing. * Preferred Experience: 3+ years of experience with behavioral health services.
    $133k-171k yearly est. 60d+ ago
  • Director of Revenue Cycle

    AHMC Healthcare 4.0company rating

    Daly City, CA jobs

    JOB SUMMARY: The Director of Revenue Cycle serves as the central coordinator of Operations for the hospital or cluster thereof. Functions as the Director of Revenue Cycle liaison between Admitting; Business Services; Utilization Management, Information Systems, other operation departments, and divisions. Revenue Cycle refers to the effective and efficient administration, implementation, monitoring, enforcement, and termination of contract provisions. Responsibilities KNOWLEDGE OF WORK 1. Demonstrates ability to review non-cap contract and assure all the necessary language is on the contract and delete languages that are not of best interest to the hospital. 2. Demonstrates knowledge in cap contract related to rates, stop loss, reinsurance, PMPM prior authorization, UR requirement, Knox-Keene requirement. 3. Able to analyze and interpret general business journals, professional journals, technical procedures, and government regulations, that may reference topics that impact Managed Care operations. 4. Always keeps in contact with affiliated medical groups and health plans and a thorough knowledge of affiliated medical group/IPA development. 5. Experience with hospital accounts receivable and finance - reporting, operations, and systems. 6. Able to write memo, correspondence, contract, letter of agreements, amendments in proper contract language. 7. Monitors utilization of health plans especially the new contracts. 8. Always demonstrates a thorough knowledge of financial reimbursement and monitors managed care contract performance. DUTIES AND RESPONSIBILITIES 1. Prepares rate models/performances based on historical or expected utilization patterns to support negotiations and approval of rates for new or renewal contracts. 2. Develop analysis of service, product, or program costing of MC contracts. 3. Reviews contracts for unique provisions having a system, reporting, or operational impact and coordinates appropriate implementation and monitoring. Assists in developing and implementing procedures and systems to ensure internal and external compliance with contract provisions. 4. Maintains contract contact lists for use in problem resolution and MC contract terms database. 5. Coordinates contract effective dates with Division Managed Care and hospital departments. 6. Identifies, tracks, and coordinates invoicing for reimbursement under unique contract provisions (e.g. Pass-through items, non-cap capitation reinsurance recoveries, etc.) 7. Develops and performs MC A/R payment audits to ensure reimbursement per contract provisions. Initiates underpayment recoveries and system and operational changes to prevent recurrence. 8. Assists departments with contract interpretation and problem solution. Escalates problem resolution to Division, as appropriate. 9. Coordinates plan notifications and responses to plans for information requests. 10. Prepares routine and special MC performance reports to track and analyze revenues, costs, margins, and utilization. 11. Reviews monthly risk pool performance reports and monitors out of area/network utilization. Communicates with Managed Care staff to seek contractual relationships with highly-utilized third-party providers. Serves as a capitation resource in the hospital. 12. Coordinates monthly Internal JOC meetings and quarterly external JOC meetings with affiliated IPAs. Develop Agenda and previous meeting minutes for the meetings. 13. Initiates and facilitates new business development opportunities through proactive relationships with affiliated IPAs. 14. Establishes positive business relationships with key physicians and medical groups. 15. Prepares CATS/CDS packages for all potential referral sources (e.g. physician directorship/service agreements, hospital provider agreements, etc.) to be submitted to Region for review and approval. 16. Performs fiscal/operational analysis of hospital's services/programs and presents findings to the Hospital Administrative Team. 17. Assists finance, Admin and Director of Business Development in the development of Hospital's annul Business Plan/volume assumption schedules. 18. Compiles Medi-Cal managed care utilization data to the State to preserve and increase Disproportionate Share Hospital (DSH) funds. 19. Prepares other special reports as requested by Hospital Administrative Team. 20. Demonstrates ability in the interpretation of legal language and seek appropriate input and clarification of the contract. 21. Always utilizes Corporate resource guidelines in the review of contract and completes the work sheet. 22. Demonstrates the ability to assess a situation, consider alternatives and decide on an appropriate course of action. 23. Able to determine the approach to achieve the best outcome and effective response. 24. Seeks direction and guidance as necessary for performance of duties. 25. Always keeps Finance and Division Managed Care Coordinator informed. 26. Prioritize workload to assure timely completion of task according to urgency and timeline. 27. Able to determine the approach to achieve the best outcome and effective response. 28. Always works in a highly professional manner in utilizing resources around the facility. 29. Performs other duties as assigned. INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY 1. Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them. 2. Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives. 3. Accepts constructive criticism in a positive manner. 4. Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness. 5. Uses time effectively and constructively. Does not abuse supplies, equipment, and service. 6. Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies). SERVICE EXCELLENCE 1. Understands, respects and displays sensitivity to culture, age and persons with disabilities. 2. Participates actively and positively affects the outcomes of customer service activities. 3. Uses effective collaborative strategies as evidenced by: a) Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals. b) Recognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems. c) Timely notification to Department Manager/Director of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager/Director is made aware of the problem or concern. d) Displaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goals. e) Supports Patient Rights. 4. Displays honesty and respect for others, and respect for the organization as evidenced by: a) Treating internal and external customers as the most important part of the job. b) Being sensitive to customer's emotions, thoughts and feelings. c) Refraining from negative comments of any kind where the public or other customers can hear. d) Taking appropriate actions to resolve the concern. 5. Facilitates and enhances communication as evidenced by: a) Effective and timely processing of customers requests according to hospital and departmental policies. b) Utilizing verbal communication methods, which enable others to clearly understand what is being said. c) Utilizing verbal and non-verbal behaviors without being defensive, manipulative, aggressive or controlling. d) Using written communication that is legible, timely and at a level based on the position specific requirements. e) Listening attentively to ensure effective two-way communication. f) Expressing and accepting feedback in a professional manner. g) Answering the telephone with stating department, name and greeting. 6. Interacts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner. 7. Establishes good rapport and working relationships with coworkers, other hospital staff, physicians and the public 8. Observes dress code policy and wears hospital identification as required by our policies and procedures. CONTINUOUS QUALITY IMPROVEMENT 1. Understands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rights. 2. Complies with federal, state, local laws that govern business practices. Complies with all Department of Health Services requirements for the State of California, and HCFA standards that apply to the position. 3. Is knowledgeable and adheres to JCAHO/DHS/CMS standards specific to the position. 4. Participates actively in ensuring that all state and federal rules and regulations are followed as they apply to this position. 5. Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians, and fellow employees. EDUCATION AND ENVIRONMENT OF CARE 1. Attends scheduled inservice and mandatory inservice. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes. 2. Follows standard precautions and transmission based precautions as shown by consistent use of appropriate personal protective equipment. 3. Adheres to procedures for the disposal of waste - household waste and biohazard waste as well as the proper disposal of sharps. 4. Uses proper body mechanics and safe patient handling devices at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patient. 5. Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses. 6. Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Red, Code Blue, Code Pink, Code Orange, Code Yellow, Code Gray, Code Silver, Code Purple, etc.) 7. Maintains the department in a neat, clean, and orderly manner, especially in own work area. 8. Eliminates or assists in eliminating any seen or known hazards in the workplace. Reports any unsafe conditions to his or her immediate supervisor. 9. Demonstrates good safety habits and judgment by maintaining a safe environment at all times. 10. Complies with all hospital safety and injury prevention policies and regulations (seven Environment of Care plans and hospital safety policies and procedures). PERFORMANCE IMPROVEMENT 1. Understands the Continuous Quality Improvement Process and applies it in performing everyday tasks/duties. Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities. 2. Understands performance improvement concepts and demonstrates understanding by: a) Defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting. b) Ability to describe a quality improvement problem solving process (e.g., PDCA) and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goals. c) Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months. 3. Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the improvement of services. 4. Continually strives for self-improvement in areas of responsibility by attending continuing education classes. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Bachelor's in finance or healthcare related major. 2. A minimum of 3 years hospital managed care experience required.
    $106k-138k yearly est. Auto-Apply 60d+ ago
  • Sales Director

    Kisco Senior Living, LLC 4.2company rating

    Director of sales job at Kisco Senior Living

    The Sales Director at Woodbridge Terrace is responsible for the entire sales process that reinforces the community's brand reputation, increases awareness of the community's services and programs, develops prospective residents and achieves maximum revenue goals. What will I do every day? * Connect with prospective customers and contacts on a regular basis * Manage the sales process by maintaining a viable waitlist * Organize strategic and exciting outreach events to promote the community * Conduct Business Development with local community professional organizations * Perform market analysis and develop an effective sales strategy * Develop a vibrant sales culture * Analyze sales reports and other data to further improve sales ratios and revenue production * Manage apartment inventory effectively * Develop and manage the Sales budget to operational guidelines * Perform other related duties as required What will I need to be successful in this role? * Be a great team player * Bachelor's Degree * 3 to 5 years' sales experience with excellent closing results * Previous experience working with seniors is a plus * Strong communication skills What's in it for me? (Great Question!) * Base salary $80,000 - $$90,000 plus bonus and commission * A free meal per shift * Healthcare Benefits including Vision & Dental (Full-time only) * Matching 401k (Full-time only) * Paid Time Off * Rewards and Bonus Opportunities * Continuous Training and Growth Opportunities What do we do? We create a great place to live for our residents and a great place to work for our associates. Kisco Senior Living has been a dynamic, award-winning leader in the senior living industry for the past 30 years. All offers of employment are subject to satisfying our pre-employment process which includes: successfully passing a drug screen, TB Test and Background Check * Kisco Senior Living is an Equal Opportunity Employer
    $80k-90k yearly Auto-Apply 54d ago

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