This position is responsible for the overall leadership, strategic direction and oversight of operations of Phoenix Children`s Hospital Care Coordination Departments across the enterprise, which include Inpatient Care Management, Utilization Management, and the Social Work Department, including inpatient and outpatient social workers and Licensed Clinical Therapists. This position manages existing Care Coordination vendor relationships, implements and manages a population health program with the goal of lowering the cost of healthcare and improving clinical outcomes through advocacy, partnership and innovation.
The Director of Reimbursement serves as an internal consultant to PCH leadership for reimbursement and Medicare/Medicaid regulatory matters and is responsible for proposing, implementing, reviewing, and modifying all work related to revenue maximization strategies in compliance with federal, state and local laws/regulations. The Director is responsible for leading and coordinating the continued development of accounts receivable valuation, net revenue reporting capabilities, all third-party reimbursement and cost reporting functions. The Director is responsible for the maintenance and optimization of the newly implemented Crowe Revenue Cycle Analytics (RCA) tool.
The Director brings high-level insight and perspective to analyze and interpret financial information that supports the overall financial vision for Phoenix Childrens Hospital and elevates the level of financial analytical information provided to the organization. The Director will ensure system-wide capabilities to evaluate/understand Phoenix Childrens net revenue performance, guiding critical business decisions. The Director is responsible for developing a high performing team of professionals aligned with the organizations goals and values.
The Revenue Integrity Director develops, maintains, and reports on the charge description master (CDM); ensures data and charge integrity between the CDM and hospital departments; researches coding and revenue reporting requirements and uses strategic pricing applications to maximize reimbursement and ensure regulatory compliance. The position will assure accurate charge design, build, validation, testing and quality assurance for all changes to the CDM, electronic and paper charge forms, and charge systems applications. This position reports to the Vice President of Revenue Cycle and supervises the CDM Coordinator.
Posting Note: The Director, Managed Care is responsible for the managed care contract life cycle, including, negotiation, implementation, coordination of third-party payer agreements and managed care contracting for the Phoenix Children`s enterprise. These agreements may represent contractual relationships with the public sector, commercial health plans, or employer-sponsored health plans in a fee-for-service, value-based, or risk arrangement. The Director, Managed Care will have oversight of Provider Enrollment, ensuring timely and accurate enrollment of facility and employed providers with third party payers. The Director, Managed Care will have responsibility for Payer Relations, maintaining positive working relationships necessary to effectively and efficiently obtain and operationalize contracts. This position reports to the Vice President, Managed Care and supports PCH, PCMG and PCCN contractual relationships.
The Director, Managed Care is responsible for the managed care contract life cycle, including, negotiation, implementation, coordination of third party payer agreements and managed care contracting for the Phoenix Children`s enterprise. These agreements may represent contractual relationships with the public sector, commercial health plans, or employer-sponsored health plans in a fee-for-service, value-based, or risk arrangement. The Director, Managed Care will have oversight of Provider Enrollment, ensuring timely and accurate enrollment of facility and employed providers with third party payers. The Director, Managed Care will have responsibility for Payer Relations, maintaining positive working relationships necessary to effectively and efficiently obtain and operationalize contracts. This position reports to the Vice President, Managed Care and supports PCH, PCMG and PCCN contractual relationships.
Posting Note: PCH is looking for an experienced clinical manager who will be responsible for Cath Lab and IR. The ideal candidate will have experience in either IR, Cath Lab or a high intensity procedural environment. OR experience will be a huge plus. Must have a minimum of 3+ years of leadership/manager experience, preferably in a hospital setting. Must be able to manage multiple priorities simultaneously; work closely with leadership teams to identify opportunities for improvement within the unit, and to work across organizational lines to optimize productivity and provide outstanding care. Position does require BSN, MSN or MBA; Sign ON Bonus for qualified candidate
The Manager, Clinical Service promotes family-centered care by subscribing to and supporting Phoenix Children’s mission and values. This position manages, evaluates and supervises operational functions and activities of an assigned area by guiding and supporting staff. The Manager, Clinical Service also serves as a liaison with other departments to plan, implement, communicate, evaluate and coordinate patient care operations across the enterprise, while also facilitating quick resolution of issues to ensure excellence in a family centered care environment.
Posting Note: *****Please note this is not a remote position*****
The HR Divisional Director provides strategic and transactional HR support to leaders in assigned business units. S/he works proactively and collaboratively with business unit leaders and HR functional experts to diagnose, prioritize and address workforce needs of assigned areas. S/he coordinates the delivery of HR services for assigned customer base, collaborating effectively with HR functional experts.
Posting Note: This Cost Accounting & Decision Support Manager will be excited to work in a newly created position and department.
You will have strong Cost Accounting, Decision Support and consultative skills with previous experience using STRATA preferred.
We have an exciting and supportive team ready to work with you. If you have previous experience with implementation and ongoing maintenance for the STRATA application, please apply!
Location: Presently the position is remote; however, you must reside in Phoenix to attend meetings on-site as needed.
3200 East Camelback Road, Phoenix, AZ
Requirements:
Bachelor's Degree in Business, Accounting, Math, or related field. Management skills, solid knowledge of Cost Accounting, Decision Support, project implementation skills with Decision Support and/or Cost Accounting systems required.
The Cost Accounting and Decision Support Manager is responsible for the management of the Cost Accounting system used for service line margin analysis, payor analysis and pricing, and patient population reporting analytics. Oversees utilization of Decision Support system in support of major strategic and financial planning projects. Reviews analytics and feasibility studies prepared using STRATA software. Assists with the implementation and on-going maintenance of the STRATA application.
The Manager, Clinical Service promotes family-centered care by subscribing to and supporting Phoenix Children’s mission and values. This position manages, evaluates and supervises operational functions and activities of an assigned area by guiding and supporting staff. The Manager, Clinical Service also serves as a liaison with other departments to plan, implement, communicate, evaluate and coordinate patient care operations across the enterprise, while also facilitating quick resolution of issues to ensure excellence in a family centered care environment.
Under the supervision of the Director of Patient and Family Centered Care, the Manager is responsible to provide day to day management and oversight of The Emily Center, Patient Education and One Darn Cool School. The Manager is responsible for the planning, development and execution of strategic objectives for departments and programs assigned. Accountable for demonstrating a commitment to providing high quality patient care and service through positive leadership and total quality management. Manager will serve as a resource to patients, families and staff, as well as collaborate with organizational leaders to enhance the educational resources available and provided to patients and families. Maintains standards for professional practice and regulatory compliance and is responsible for daily operations, budget management, staffing, patient safety, customer service and performance and improvement efforts.
This position will manage the operation of all inpatient rehabilitation services which includes physical therapy, occupational therapy and speech therapy. Administrative responsibilities include assurance of proper functioning of the department through appropriate leadership, management, and development of inpatient therapy services and programs. Responsible for overseeing and implementing existing and new programs and the development of clinical supervisors. This position must demonstrate a commitment to providing high quality patient care and service through positive leadership and total quality management. This position will report directly to the Director of Rehabilitation and will assist the Director with the ongoing fiscal management, compliance of daily operations, state and federal practice guidelines and accrediting organizations.