MANAGER-BUSINESS INFORMATICS

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Job description

Overview:Job DescriptionType of Opportunity: Full TimeFTE: 1.000000Exempt: YesWork Schedule: DaysSummary:Business Informatics leader responsible for overseeing and coordinating specialty engagement in Epic content development and optimization consistent with organizational initiatives; providing testing, ad hoc training across business units; promoting and supporting end user adoption; designing to cross-functional organizational workflows within clinical information systems across departments in the clinical setting. Responsible for the operational oversight of clinical and outpatient inflow denial support, charge capture, revenue /reconciliation and central insurance verification functions and is accountable for development of applicable policies and procedures. Provides leadership consistent with organizational strategy and works to achieve established results categories to include clinical outcomes, customer loyalty, staff focus, growth, and financial outcomes. Serves as a subject matter expert of advanced Epic system, revenue cycle workflows and 3rd party software applicable to these workflows.Responsibilities:Responsibilities:Specific Functions*Partner in the effort implementing and maintaining PMG systems by comprehending business and operational practices to improve the quality and efficiency of patient care with the use of clinical information systems.*Oversees the strategic design, implementation and maintenance of PMG Business Informatics initiatives.*Provides senior level consulting services related to PMG Business Informatics issues. Applies analytical and project management methodologies to evaluate and implement large, technically difficult projects in these areas.Provides direction and consultation for collection, data analysis, presentation and development to support the needs of the PMG Program/Department.Oversees Business Analyst team task of Data Mining to help with PMG organizational strategies and to help with key respective decisions*Facilitate/participate in group design with subject matter experts, translating organizational/specialty/department needs and requirements into automated systems design.*Familiar with and influences the charge review and revenue capture processes for PMG Outpatient professional billing (including split billing) across the enterprise.*Works closely with PMG Clinics and Hospital Service Lines to ensure that professional revenue reconciliation processes are in place and escalates issues relative to charge capture and revenue routing to Finance/Revenue Cycle Leadership. Specifically, in the area of Inflows Denials improvement.*Oversees the Insurance Verification/Pre-registration process across PMG clinics by integrating and maintaining the Experian eligibility clearinghouse and Experian Registration Quality Alerts (or other 3rd party tools). Oversees this specific vendor relationship.*Works directly with PMG Finance to ensure appropriate operational policies and procedures are established relative to revenue reconciliation, charge capture, missing charges and RVU reporting for professional and technical fees. Provides support for all strategic implementation programs through ad hoc training. Works with Training Development team on Epic and other revenue cycle applications training to ensure consistent standardization.*Ensures compliance with regulatory requirements and initiatives within Epic and 3rd party applications.*Works in a highly collaborative manner with organization leaders to accomplish goals related to standardization and transfer of best practices.*Serves as a role model by ensuring that personal assignment (e.g. Rounding, Thank You Notes, Compliance Tests) are completed early and completely.*Serve on councils and committees as assigned.General Functions*Performs personnel management functions including hiring, coaching, evaluating, counseling and dismissals.*Interacts and coordinates activities with a variety of health care agents, regulatory agencies, and vendors.*Participates in conflict resolution as necessary and acts as an effective problem solver.*Exemplifies a high standard of leadership qualities and professionalism. Mentors other professionals in developing and achieving their professional goals.*Maintains current knowledge of information in related field through seminars, workshops and publications. Develops and maintains expertise in process improvement and management.*Performs other functions as required.Qualifications:Other information:Bachelors degree required. Masters preferred. At least two years operational or clinical experience required, with business or financial experience preferred. Epic certification preferred. Education:Essential:* Bachelor DegreeCompetencies and skills:Nonessential:* Analytics skills* SKILL-Microsoft Office* Planning and coordinating organizational change* Anticipating & Addressing Customer Needs* Educating Employees, Customers & Transferring Knowledge* Functioning as an Effective Contingent Member* Diagnosing & Resolving Problems* Acquiring & Applying Superior Skills to achieve Quality Outcomes* Functioning as an Effective Team Member* SKILL-Ability to present to various audiences* SKILL-Ability to pull detail reports out of systems.* SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.* SKILL-Written communicationBenefits:BenefitsBenefits are effective day-one (for .45 FTE and above) and include:Competitive salariesFull medical, dental and vision insurance Flexible spending accounts (FSAs) Free wellness programsPaid time off (PTO)Retirement plans, including matching employer contributionsContinuing education and career development opportunities Life insurance and short/long term disability programsAbout UsPresbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.About New MexicoNew Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.#ITA123