Consultant / Project Manager - Transaction Flow - Central Business Office - Troy
- Develop project plans and perform project management for the design and continuous evaluation of CBO insurance follow up and recovery functions and workflow, to organize work based on production action to achieve optimal efficiency and productivity.
- Deliver significant business results that utilizes strategic and creative thinking, problem solving, and individual initiatives.
- Leads and supports the development of new CBO work queue structures based on homogeneity and production action, including development and monitoring of WQ-specific productivity metrics, and the development of WQ filtering and other methods to assign work.
- Perform surveillance of denial, edit, and other data elements to identify trends and opportunities for performance improvement.
- Coordinate and leads process improvement meetings to implement error prevention efforts. Research best practices for improvement and implement quantitative and qualitative benchmarking.
- Lead CBO department and cross-functional workgroups to implement initiatives to reduce denials and other errors. This includes coordination with other HFHS business units, Corporate revenue cycle, hospital departments, physician practices, and other teams across the organization.
- Coordinate and facilitate meetings with insurance payer representatives and internal leaders to develop a more efficient transaction flow and reduce transaction processing issues and administrative burdens. Prepare internal Leadership prior to external meetings.
- Manage the development of continuous feedback loops and communication with internal customers pertaining to denial and write off improvement opportunities.
- Assists with the development of process performance metrics. Documents current processes and new processes; facilitates design of new processes incorporating process improvement fundamentals (removing waste, hand-offs).
- Provides expertise using change management tools and methods to ensure successful and sustainable implementation of the transition to a production-oriented CBO recovery function, and process improvements to drive the reduction of denials, edits, and preventable loss write offs.
- With assistance on assigned projects, drives implementation of critical business metrics & ongoing end-to-end process reviews. This will include the following steps: a) Identify key processes and their indicators; b) Establish baseline metrics; c) Report through financial and business review process; and, d) Develop and maximize improvement plans.
- Supports, coaches, and mentors CBO team members and process owners to utilize a defined PDCA process improvement methodology.
- Communicate effectively in written and verbal formats to various situations and audiences.
- Bachelor’s degree in Business Administration, Health Care Administration or related field. Master’s Degree (preferred).
- Minimum of 3 years of demonstrated performance improvement experience.
- Previous healthcare knowledge, Epic, revenue cycle and /or, large healthcare system experience preferred.
Overview
Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health
care systems, is a national leader in clinical care, research and education. The system includes
the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health
insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory
network and many other health-related entities throughout southeast Michigan, providing a
full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care.
The health system also is a major economic driver in Michigan and employs more than 24,600
employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The
health system is led by President and CEO Wright Lassiter III. To learn more, visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.