Hours of Work :

8am - 5pm

Days Of Week :

Monday - Friday

Work Shift :

8X5 Day (United States of America)

Job Description :

The CBO Project Manager of Performance Improvement (PMPI) is responsible for measuring performance goals, project managing CBO Performance Improvement (PI) initiatives, reporting and analysis, and managing data sets to support the Payor Relations process. The primary focus will be to consolidate information for CBO strategy and decision-making and use statistical analysis to assist in creating and identifying timely adjudication strategies for Methodist Health System. The PMPI is expected to possess critical thinking and complex analytical modeling skills with Excel. The candidate will effectively utilize Epic reporting to monitor and optimize efforts to reduce accounts receivable. The role will assist in measuring CBO quality and productivity and proactively review trends and variances that delay reimbursement. This position will support strategic initiatives in partnership with the CBO, Revenue Cycle departments (Patient Access, Centralized Services, Health Information Management, Revenue Integrity, Utilization Management, and Revenue Cycle IT), and Operational leadership across Methodist Health System. The candidate will utilize project management best practices including activities of evaluating, documenting and negotiating project deliverables and timelines. The candidate will align initiatives to facilitate improvements in CBO workflows and processes. The ideal candidate will monitor annual goals, objectives, and performance standards for the CBO.  Ensures policies and procedures are developed and implemented and recommends changes to the Vice President of Central Business Office.  The DCPI will also participate as an integral support member of the CBO Management Team, ensuring the CBO adheres to project schedules and has the visibility and support necessary to meet fiscal year targets successfully. This position requires effective communication skills with management and staff level employees.

Qualifications: 

• Master’s in Business Administration (preferred)
• Bachelor's Degree in Healthcare Finance or related field or 5 or more experience in revenue cycle.
• 5-10 years of revenue cycle experience (preferred).
• High level of Excel proficiency.
• Ability to manipulate large data sets
• Project Management Skills

Licenses and/or Certifications:

• Epic Resolute Certification (preferred)
• Professional Certification through HFMA, AAHAM, or MGMA (preferred)
• Project Management Certification (preferred)
• Six Sigma Certification (preferred) 

Related Work Experience/Other Skills:

The individual must effectively communicate/interact with various levels within the organization.  Must be a team builder and be able to analyze information to recommend appropriate actions to maintain a favorable financial situation.  The position requires good interpersonal, computer, and communication skills and experience working under deadline constraints.  Timely identification of trends and variances is a must, along with maintaining a solid working relationship with all Customers (Internal and External).

• Strong knowledge of Hospital and Physician Revenue Cycle.
• Proven project management and analytical skills to identify root causes and transformation experience.
• Solid understanding of business models and associated processes.
• Experience with Epic patient accounting system. (preferred)
• Superior critical thinking, analytical, and problem-solving skills to resolve complex issues.
• Ability to lead cross-functional teams in Discovery and Development.
• Ability and track record in creating a collaborative work environment between Hospital business office employees and hospital departments to enhance business operations, productivity, and effectiveness.
• Excellent communication, interpersonal, relationship building, time management, and organization skills necessary.
• Ability to collaborate effectively to make decisions with other leaders.
• Ability to work in a high-volume, fast-paced environment with tight deadlines and multiple interruptions.
• Strong hospital financial, business office, and revenue cycle understanding.
• Demonstrates a multi-discipline approach to problem-solving that reflects a broad, strategic understanding of the business
• Understanding of hospital and physician billing regulations, confidentiality, and privacy.

 Job Roles:

• Provide clear direction within the CBO regarding project requirements, timelines and constraints.
• Lead translating business performance opportunities into actionable documentation/specifications, including use case scenarios, models, and conceptual design diagrams to support iterative development.
• Maintain standard and customary documentation of information including written or e-mail confirmation of conversations and decisions, diagrams, and other project information.
• Coordinate, motivate, and follow up with all stakeholders and resources to ensure project progress is on schedule and meets goals and requirements.
• Identify, access, and resolve complex business problems/issues/risks and facilitate issue resolution and risk mitigation.
• Supports project teams through the Revenue Cycle organizational improvements' design, build, and implementation phases.
• Target revenue recovery efforts throughout the reporting areas by analyzing problems and implementing solutions.
• Manage and maintain business relationships with Hospital Management and Revenue Cycle business partners to maximize performance.
• Initiate projects focused on improving workflows specific to financial outcomes to increase revenue realization.
• Analyze Hospital month-end financial reports for opportunities and recommend best practices for enhancements, process improvements, or resolutions that will drive the desired results.
• Monitors collection efforts' effectiveness and monitors timely and effective insurance billings within established payer timeframes.
• Identifies important trends and variances through the review of management reports and financial analysis of Accounts Receivables.
• Manages the planning and direction of assigned projects and operations. Assist in establishing priorities regarding areas that require more in-depth analysis.
• Simultaneously manage multiple projects, balancing resources, priorities, deadlines and time.
• Manage process improvement and redesign. This may also include providing oversight, general work direction, and/or guidance to team members.
•  Provide clear direction to vendors regarding the needs of the project and timelines and constraints.
• Other duties as assigned.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers
• 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023
• Top 10 Military Friendly® Employer, Gold Designation, 2023
• Top 10 Military Spouse Friendly® Employer, 2023