As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

JOB SUMMARY

This is a client facing process improvement position.Liaison between facility and Conifer operations for multiple facilities. Conifer executive resource for client local leadership. Focused on growing on-site relationships via client revenue, reputation and image by service, and performance for the client. Critical responsibilities include: (a) engaging key client executive management to understand needs (b) working with Conifer internal business colleagues to assess, develop, and recommend denial service solutions; (c) educating the client, monitor denial performance objectives, prepare for and conduct monthly denial meetings, (d) report with peer-level operations personnel underlying metrics, and improvement opportunities to ensure it meets/exceeds the expected levels of performance, (e) ensuring the contractual expectations are met and exceeded, (f) setting strategy that continues to long-term strategy of overall client account.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Client Management -- Serve as primary on site contact for Denials Management and other key sponsors, present a knowledgeable, efficient, and professional image by handling business in a respectful and professional demeanor, and excel in the following activities:
  • Client Advisor â�� Rise to the level of trusted advisor to Clients, with respect to Clientâ��s own performance.
  • Reporting and Analyticsâ�� Prepare and present to client performance reporting, as contracted and appropriate
  • Relationship Management -- Facilitate and maintain relationships through regular, pro-active communication, timely follow-through on requests and coordination of resources to meet client needs
• Market based collaboration for preventing denials across the Revenue Cycle through performance improvement efforts, defining issues through data analysis and process observations. This will include the use of project plans, leading denial subcommitties, providing performance reports, and engaging hospital departments.
• Defining issues; identifying root causes; interpreting data; understanding data dependencies; goal setting; establishing tracking and reporting metrics; updating project plans; leader of denial subcommities; providing performance reports and deliverable preparation
• Defining issues; identifying root causes; interpreting data; understanding data dependencies; goal setting; establishing tracking and reporting metrics; updating project plans; leader of denial subcommities; providing performance reports and deliverable preparation
• Provides project management, analysis and/or technical expertise for a broad array of Revenue Cycle initiatives. Has responsibility for assisting teams in support of Regional or National Analysis
• Develop, implement, Analyze, and maintain Dashboards, scorecards, and other standard reports
• Company Policy. Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company's governance/compliance program. Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, Compliance, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts.Relationship Management -- Facilitate and maintain relationships through regular, pro-active communication, timely follow-through on requests and coordination of resources to meet client needs

FINANCIAL RESPONSIBILITY (varies by client site)

SUPERVISORY RESPONSIBILITIES

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Direct Reports (titles) Varies by client site
• Indirect Reports (titles) Varies by client site

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment activity. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Requires an understanding of systems and processes that impact revenue cycle performance and capabilities.
• Possesses the ability to build trusting relationships with Client Executives at all levels.
• Possesses analytical ability sufficient to work in a data-heavy environment and to identify trends in the data.
• Possess business acumen with an emphasis on soft skills: effective communication (i.e., listening, written and verbal), negotiation, influencing decision makers, business planning, strategy, problem solving, decision making and time management skills.
• Intermediate MS Office required (Outlook, Excel, Word, and PowerPoint).

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Three to Five years Supervisory in a Revenue Cycle or Acute Health Care
• Demonstrated experience of the entire acute care hospital revenue cycle processes is required;
• Being comfortable leading in matrixed environment.
• Understanding of the market, trends, competition, and key pain points for hospital executives.
• Exposure to project management to include developing and implementing business initiatives, change management, and bringing together disparate team members to successfully deliver client solutions
• Bachelorâ��s Degree preferred.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
• Ability to travel
• Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
• Hospital Work Environment

TRAVEL

• Approximately 40-50% travel may be required (driving with Division, other Site Travel)

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.