VP, Revenue Cycle Management - Humana
Albany, NY
About the Job
Become a part of our caring community and help us put health first
Humana is a Fortune 40 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished leader for the role of Vice President, Revenue Cycle Management in the Home Solutions division of CenterWell, our wholly-owned healthcare services subsidiary. As one of the nation’s largest home health providers, CenterWell Home Solutions combines the stability and opportunities of a large national company with the ability to make a positive, local impact. We provide care for patients in their homes who are managing a chronic condition or recovering from injury, illness, surgery or hospitalization.
In this role, you will lead and direct the revenue cycle management function (authorization, eligibility verification, payor change management, workflow management, billing, collections, and denials management). As such, you will play a critical role in strategic decision-making and financial operations for our Home Solutions business.
The Vice President will report directly to the Vice President, Chief Financial Officer of Home Solutions and will lead a multi-level organization of roughly 250 employees with 3-5 direct reports. This position can be located anywhere within the lower 48 contiguous states. A modest amount of travel (10-20%) should be expected.
Key Responsibilities :
+ Develop financial and non-financial key performance indicators (including all areas of revenue, cost of sales, and indirect expenses) and the appropriate reporting to assess financial and operational performance across the Company.
+ Drive performance against targets across key performance indicators.
+ Manage external outsourced vendors to ensure high quality and quantity of work.
+ Proactively surface, address, manage, and monitor financial risks before they impact local branches.
+ Develop strong working relationships with local branch, area, and regional teams to ensure the FSU is delivering a service that meets their needs.
+ Identify and implement processes and technologies to improve timeliness and reduce unbilled / denied claims.
+ Hire, develop, and retain a team of high-performing finance and operations professionals.
+ Administer and review organizational budget; keep senior leadership team abreast of the organization’s financial status.
+ Analyze and present financial reports in an accurate and timely manner; clearly communicate monthly and annual financial statements and other key metrics.
+ Prepare monthly and quarterly financial reports and presentations on key revenue cycle management metrics for senior executives.
Use your skills to make an impact
Key Candidate Qualifications :
In general terms, the successful candidate will have extensive professional experience (typically 15+ years), with the majority of that experience being in broad finance operations management roles, ideally in the Home Health or Hospice sectors. This person will have experience in strategic planning, a record of success in leading financial and operational functions for a multi-state branch network, and a strong history of driving significant operational improvement. In addition, he/she will be a strong leader of people with proven success in expanding and elevating the capabilities and performance of a multi-level team.
In addition to the above, the following professional qualifications and personal attributes are sought:
+ Proven record of success in designing and implementing an operational framework and achieving higher levels of operational rigor.
+ A strong client service mindset.
+ Ability to translate financial and operational concepts to effectively collaborate with those with and without finance backgrounds.
+ A successful track record in setting priorities, along with keen analytic, organization and problem-solving skills which support and enable sound decision making.
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences, both internally and externally.
+ Current or recent experience in a highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment.
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
+ Vendor management experience.
+ Program and project management experience.
+ Proven ability to create practical solutions to address business challenges.
+ Advanced skills in Microsoft Excel, Word, and PowerPoint.
+ Bachelor’s degree in finance, accounting or equivalent is required.
Scheduled Weekly Hours
40
Application Deadline: 01-10-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Humana is a Fortune 40 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished leader for the role of Vice President, Revenue Cycle Management in the Home Solutions division of CenterWell, our wholly-owned healthcare services subsidiary. As one of the nation’s largest home health providers, CenterWell Home Solutions combines the stability and opportunities of a large national company with the ability to make a positive, local impact. We provide care for patients in their homes who are managing a chronic condition or recovering from injury, illness, surgery or hospitalization.
In this role, you will lead and direct the revenue cycle management function (authorization, eligibility verification, payor change management, workflow management, billing, collections, and denials management). As such, you will play a critical role in strategic decision-making and financial operations for our Home Solutions business.
The Vice President will report directly to the Vice President, Chief Financial Officer of Home Solutions and will lead a multi-level organization of roughly 250 employees with 3-5 direct reports. This position can be located anywhere within the lower 48 contiguous states. A modest amount of travel (10-20%) should be expected.
Key Responsibilities :
+ Develop financial and non-financial key performance indicators (including all areas of revenue, cost of sales, and indirect expenses) and the appropriate reporting to assess financial and operational performance across the Company.
+ Drive performance against targets across key performance indicators.
+ Manage external outsourced vendors to ensure high quality and quantity of work.
+ Proactively surface, address, manage, and monitor financial risks before they impact local branches.
+ Develop strong working relationships with local branch, area, and regional teams to ensure the FSU is delivering a service that meets their needs.
+ Identify and implement processes and technologies to improve timeliness and reduce unbilled / denied claims.
+ Hire, develop, and retain a team of high-performing finance and operations professionals.
+ Administer and review organizational budget; keep senior leadership team abreast of the organization’s financial status.
+ Analyze and present financial reports in an accurate and timely manner; clearly communicate monthly and annual financial statements and other key metrics.
+ Prepare monthly and quarterly financial reports and presentations on key revenue cycle management metrics for senior executives.
Use your skills to make an impact
Key Candidate Qualifications :
In general terms, the successful candidate will have extensive professional experience (typically 15+ years), with the majority of that experience being in broad finance operations management roles, ideally in the Home Health or Hospice sectors. This person will have experience in strategic planning, a record of success in leading financial and operational functions for a multi-state branch network, and a strong history of driving significant operational improvement. In addition, he/she will be a strong leader of people with proven success in expanding and elevating the capabilities and performance of a multi-level team.
In addition to the above, the following professional qualifications and personal attributes are sought:
+ Proven record of success in designing and implementing an operational framework and achieving higher levels of operational rigor.
+ A strong client service mindset.
+ Ability to translate financial and operational concepts to effectively collaborate with those with and without finance backgrounds.
+ A successful track record in setting priorities, along with keen analytic, organization and problem-solving skills which support and enable sound decision making.
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences, both internally and externally.
+ Current or recent experience in a highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment.
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome.
+ Vendor management experience.
+ Program and project management experience.
+ Proven ability to create practical solutions to address business challenges.
+ Advanced skills in Microsoft Excel, Word, and PowerPoint.
+ Bachelor’s degree in finance, accounting or equivalent is required.
Scheduled Weekly Hours
40
Application Deadline: 01-10-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana