Opportunity

HealthPartners, a premier $10B integrated healthcare provider and health insurance organization headquartered in the Twin Cities, Minnesota is seeking its next overall system leader of revenue cycle.

Reporting directly to the enterprise Chief Financial Officer, this executive provides centralized oversight and expert management for all of HealthPartners’ revenue cycle activities, representing close to $5B in net patient services revenue. The function is consolidated and centralized under one Care Group system that integrates acute and professional billing. Key priorities include (1) optimizing and modernizing the revenue cycle to maximize financial performance, improve cash flow, reduce administrative burden, and deliver a seamless patient experience; (2) Epic Refuel: re-aligning functionality and workflows with the Epic Foundation System to unify configurations across provider types and locations, reduce aging customization, and support agile implementation of upgrades; and (3) evaluating opportunities to close the gap in inpatient, outpatient, and clinic diagnosis documentation for value-based care payments.

Position Summary

This leader is accountable for meeting system-wide Revenue Cycle goals aligned with the business and Triple Aim strategies, building on integrated revenue cycle functions to develop a best practices platform with standardized policies, processes, and procedures consistent with System Services work.

• Defines, establishes and communicates revenue cycle performance expectations, including, but not limited to prior authorization, registration and admission, point of service collections, financial counseling/charity, charge master, charge capture, clinical documentation improvement, coding, claim processing, cash posting, denials management, collections, customer service, and all other aspects of revenue management.
• Monitors and analyzes financial operations and key performance indicators such as accounts receivable, cash collections, denials and controllable loss to ensure optimal performance.
• Directs denial management strategy and initiatives with a focus on prevention. Collaborates with revenue cycle, clinical and financial teams to evaluate and address root causes of payment delays and payor denials to optimize revenue recovery and reduce avoidable write-offs.
• Partners closely with Managed Care leadership to ensure alignment on payor strategy and financial/operational impacts. Interacts with HealthPartners health plan leadership to resolve any operational issues including denials. Works in conjunction with other clinical, finance and technology areas to ensure coordinated activities with respect to all HealthPartners Care Group revenue cycle needs.

Position Requirements

• Bachelor’s degree required (degree in Business, Finance, Accounting or Financial Systems preferred).
• Master’s degree preferred.
• Ten years of experience in reimbursement and revenue cycle activities including at least five years in a leadership position.
• Strong operations experience leading a unified revenue cycle function for a large integrated healthcare system with both hospitals and physician group practices, or in a healthcare revenue cycle consulting practice. Solid understanding of the challenges and opportunities in revenue cycle in a health care system of similar complexity.
• Strong experience in change management. Transformational in approach while driving a focus on performance improvement.
• Epic experience required.

Compensation

An attractive compensation, benefits, and relocation package will be offered commensurate with the candidate’s experience, with a base salary range in the $400s plus bonus.