AVP Financial Counseling

Calling All Revenue Cycle Leadership Professionals With A Strong Financial Counseling along with State and Federal Regulatory Compliance Background....

Do you excel in navigating complex regulatory landscapes and driving transformational change within the Revenue Cycle? If so, then we have the perfect opportunity for you to lead our enterprise-wide Financial Counseling team!

The Role:

Providence is seeking an enterprise Associate Vice President of Financial Counseling.  As the AVP of Financial Counseling, you will have focused accountability on regulatory compliance across the system. In this hybrid role, you will assume a pivotal role encompassing legal coordination, regulatory compliance, strategic decision-making, and leadership. The AVP is accountable for the enterprise-level state and federal regulatory compliance, policies, and procedures, as well as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 physician practices, and services.  The Providence financial counseling team is insourced, processing nearly 200,000 financial assistance applications annually, resulting in $434M in charity care. About 44,000 Medicaid applications are processed each year with a revenue value of $34M.

The AVP is responsible for leading significant changes across the health system, including collaborating with key vendors concerning financial assistance screening, Federal Poverty Level scoring, and the supporting processes. These system changes have considerable regulatory, compliance, legal, and financial impacts into the tens of millions of dollars.

• Oversee uninsured and charity internal and external audits, acting as the subject matter expert for IRS audits concerning 501(r) requirements.

• Develop and maintain a high-performance team by ensuring staffing levels meet budget, all staff are fully trained, certified, and empowered to achieve performance and quality targets, developing career ladders as appropriate, ensuring individual and departmental compliance with all applicable laws and regulations as well as revenue cycle and Providence policies and procedures.

• Responsible for resolving escalated issues, including CMS, other regulatory bodies, legal, clinical, or patient experience matters.

• Oversee departmental budgets within leadership scope, including participation in budget development, approval responsibility, and ongoing monitoring for productivity and cost compliance.

• Ensure the development of standard educational materials to meet state and federal requirements. Responsible for developing System and state Charity Care/Financial Assistance policies, procedures, and process coordination with revenue cycle, finance, reimbursement, legal counsel, and other stakeholders as needed.

• The AVP leads the annual review of AGB calculations, updates charity policies, plain language summaries, and AGB definitions, updates hospital information systems, and posts charity policies per state regulations. The AVP will also participate in reviewing uninsured discounts with Corporate Reimbursement and Finance.

• Responsible for developing, coordinating, facilitating, administering, and improving internal and external communication programs and initiatives involving topics such as patient registration, financial assistance, billing, as well as those impacting reputation management, compliance, and the supporting culture.

Based in our dynamic setting, you will partner with key stakeholders across the health system to develop and execute plans for financial assistance and health equity. Your leadership will be instrumental in driving innovation, streamlining operations, and enhancing the overall experience for both business and patient constituent groups.

What You'll Do:

Strategic Visionary:

• Set strategy and standards for Financial Assistance and Financial Counseling programs across all Providence ministries.
• Lead proactive internal auditing to ensure adherence to all federal and state regulations, including IRS 501(r) compliance.

Regulatory Expert:

• Collaborate closely with Providence Legal and outside counsel to maintain policy compliance and interpret new or draft regulations.
• Act as an internal and external Subject Matter Expert (SME) on complex, high-risk regulatory matters that impact reputational risk.

Operational Leader:

• Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy.
• Set strategic and performance goals for the departments, monitor results, and drive process improvement.

Innovation Driver:

• Lead and participate in innovation and automation initiatives to improve caregiver workflow and patient experience.
• Collaborate with Data & Analytics to build PowerBI reports for monitoring processes and overall compliance.

Team Builder:

• Develop and maintain a high-performance team, ensuring staffing levels meet budget, and all staff are fully trained, certified, and empowered to achieve performance and quality targets.
• Foster a culture of compliance, continuous improvement, and professional development within the team.

Change Manager:

• Ensure timely and appropriate communication to employees, patients, and stakeholders about organizational changes.
• Actively manage employee engagement and morale during periods of profound organizational change.

What You'll Bring:

• Educational Background: Bachelor’s Degree in a relevant field; Master’s Degree in Business Administration, Healthcare Administration, Public Administration, or a related field preferred.
• Experience: Minimum of 10 years of experience in a revenue cycle leadership role, with at least 10 years in revenue cycle, financial assistance, and/or financial counseling operations. 5 years of experience in state or federal regulatory matters, including investigations.
• Skills: Strong demonstrated ability to build relationships and coordinate with Chief Executives and Division CFOs on AG and regulatory matters.
• Leadership: Effective leadership, organizational skills, and a high degree of initiative.
• Knowledge: In-depth knowledge of state and federal regulations and third-party contracts pertaining to healthcare reimbursement and collection processes.

Why Join Us?

• Make a Real Difference: Contribute to an organization dedicated to transforming healthcare and improving lives.
• Unleash Your Potential: Enjoy the autonomy and support needed to bring your innovative ideas to life.
• Work with the Best: Collaborate with a team of talented and dedicated professionals passionate about their work.
• Thrive in a Dynamic Environment: Embrace the challenges and rewards of working in a fast-paced and ever-evolving industry.

Ready to Shape the Future of Healthcare?

If you’re a visionary leader with a passion for healthcare and financial strategy, we encourage you to apply! Join our team and help us create a healthier future for all.