Regional Leader - Executive - Physician Revenue Cycle

Job Family:

Business Operations

Travel Required:

None

Clearance Required:

None

What You Will Do:
The Regional Leader reports to the Senior Engagement Leader or Other Senior Regional Leader of a scaled, complex, long term physician services client with a national footprint.  The Regional Leader will be responsible for a regional or functional portfolio within the broader client team. The Regional Leader will provide oversight and assist the Senior Account and Delivery team with defining, prioritizing and implementing the specific strategic initiatives the Company should pursue and deliver to the Company’s client’s as well as ensuring best practices are developed and implemented within the client’s portfolio. The Regional Leader will serve as the assigned client relationship executive and work with the both the US and India based delivery teams to ensure optimal results. 

Strategy and Business Development:

• Spearhead the development, communication and implementation of effective client delivery  strategies, programs and processes.

• Help maintain the key strategic client and partner relationships including partnering and strategically guiding the actual delivery of the BPO and Point Solutions Services to the client which is an Operations function.

• Create and implement standard playbooks for all clients consistent with standard operational procedures and SOP’s allowing for consistent performance of all revenue cycle metrics and KPI’s.

• Collaborate with the Senior Management Team to develop and implement plans for the infrastructure of systems, processes, and personnel designed to accommodate the rapid growth objectives of the Company in the Physician Services arena.

• Oversight of Division Business Planning and creation of Strategic Initiatives for the Company.

• Take on special projects and assignments where necessary.

Leadership and Continuous Improvement:

• Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives and projects.

• Assesses and responds to current and future internal and external healthcare trends in order to establish and ensure the necessary direction for revenue cycle activities.

• Continually seeks ways and means for improving the delivery and support of Physician Services activities and programs.

• Assures satisfaction among customer groups with the quality and amount of support provided by monitoring and responding appropriately to outcomes and feedback.

• Understands the job functions of all Physician Services personnel, is aware of process flow across departments, and involves them, as appropriate, when recommended actions may impact their work functions. 

Operations:

• Develops and implements policies and procedures related to all aspects of the Physician Services process.

• Monitors and researches regulatory changes and proposes actions to respond to changing legislation/regulations.

• Evaluates and directs efforts of Consultants and Analysts to improve clients’ Physician Services initiatives.

• Assists in on-site operational reviews of various Physician Services processes at clients’ sites and publishes recommended action plans/proposals in consultation with client CFO.

• Develops and utilizes monitoring and reporting techniques and systems.

Client Responsibility:

• The Regional Leader may represent the firm with clients, investors, and business partners. Provide access to contacts in the Health Care Market, help create and manage Advisory / User’s committees.

• Responsible for development of Performance Indicators and communication with client regarding Performance Indicators.

• Responsible for a continual assessment of client needs and potential solutions available through Guidehouse.

• Responsible for internal quality and performance monitoring to ensure that client expectations are being achieved.

• Responsible for the financial performance of the portfolio and a component of the overall financial performance of the engagement.

What You Will Need:

• Requires a Bachelor's Degree and a minimum 15 years of prior relevant experience. (Relevant experience may be substituted for formal education or advanced degree.

• Relevant experience coming from a healthcare provider, payor, central business office environment or revenue cycle outsourcing company.

What Would Be Nice to Have: