Job Description
At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.
As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:
- Clinical quality
- Integrity
- Service excellence
- Teamwork
- Accountability
- Continuous improvement
- Inclusion
Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Responsibilities
Reporting to the Vice President of Practice Revenue Cycle Operations, the Director of Practice Revenue Cycle Operations will work directly with local leadership to support specialty practice partnerships within the growing Optum Specialty Practice (“OSP”) group. This position is responsible for recommending and assisting specialty practices with process improvement, consolidation efforts, implementation of new technologies, transition management, execution of goals, and meeting KPI standards.
OSP partners with specialty physician groups, through Management Service Organizations (“MSOs”) to support their migration into value-based healthcare as part of the OptumCare team. OSP partners to provide practice management and clinical performance support, referral and payer alignment, data analytics, and strategic capital while the practices themselves provide physician leadership, market knowledge and clinical excellence to create market-leading specialty care delivery systems. OSP is responsible for delivering high-value specialty care networks that overlay and integrate with SCA, OptumCare Care Delivery Organizations (CDOs), and other OptumCare partners.
Key Responsibilities:
- Works closely with the practice leadership team to ensure that KPI metrics of Revenue Cycle Operations are achieved and quality standards are met
- Acts as a strategic business partner with local leadership and operational OSP counterparts to identify RCO performance improvement opportunities
- Reviews, analyzes and interprets financial data to monitor progress toward established goals
- Assists with the ongoing management and evaluation of vendor relationships (domestic and offshore)
- Reviews business terms associated with vendor contracts/agreements and coordinates finalization with legal resources
- Ability to make effective and persuasive presentations on complex topics to management, public groups and or boards of directors
- Prepares for and presents RCO updates during monthly operational meetings to SCA and practice leadership
- Works with specialty practices to document core workflows, develop standard operating procedures, and coordinate implementation plans for the roll-out of new processes
- Assists with the integration of new technologies to ensure smooth transition
- Develops a positive culture by promoting positivity and collaboration with internal and external team members
- Provides direct leadership guidance to multiple teams across revenue cycle support lanes
- Fields questions from teammates, physicians, and practice leaders
- Strong Communication skills required
Qualifications
- Minimum of high school diploma or GED completed
- Undergraduate or graduate degree in business, healthcare, or related field preferred
- Minimum of 8 years of Revenue Cycle experience
- Minimum of 5 years of management experience
- Must have experience working with large single or multi-specialty physician groups / Practices
- Understanding of the various roles, responsibilities, and technical aspects of the entire revenue cycle, specifically in the healthcare, medical, or ambulatory surgery center industry
- Hands on knowledge of technical dependencies impacting RCO including interfaces, file transfers, electronic claim loops/segments, clearinghouses, etc.
- Proven track record of developing successful relationships and business partnerships with physicians
- Superior knowledge of medical terminology and health insurance billing
- Working knowledge of MS Office Suite including Word, Outlook, Excel, and PowerPoint
- Demonstrate strong communication skills, verbal and written
- Willing to travel to MD and Practice location sites approximately 10 - 15%
- Minimum of high school diploma or GED completed
- Undergraduate or graduate degree in business, healthcare, or related field preferred
- Minimum of 8 years of Revenue Cycle experience
- Minimum of 5 years of management experience
- Must have experience working with large single or multi-specialty physician groups / Practices
- Understanding of the various roles, responsibilities, and technical aspects of the entire revenue cycle, specifically in the healthcare, medical, or ambulatory surgery center industry
- Hands on knowledge of technical dependencies impacting RCO including interfaces, file transfers, electronic claim loops/segments, clearinghouses, etc.
- Proven track record of developing successful relationships and business partnerships with physicians
- Superior knowledge of medical terminology and health insurance billing
- Working knowledge of MS Office Suite including Word, Outlook, Excel, and PowerPoint
- Demonstrate strong communication skills, verbal and written
- Willing to travel to MD and Practice location sites approximately 10 - 15%
Reporting to the Vice President of Practice Revenue Cycle Operations, the Director of Practice Revenue Cycle Operations will work directly with local leadership to support specialty practice partnerships within the growing Optum Specialty Practice (“OSP”) group. This position is responsible for recommending and assisting specialty practices with process improvement, consolidation efforts, implementation of new technologies, transition management, execution of goals, and meeting KPI standards.
OSP partners with specialty physician groups, through Management Service Organizations (“MSOs”) to support their migration into value-based healthcare as part of the OptumCare team. OSP partners to provide practice management and clinical performance support, referral and payer alignment, data analytics, and strategic capital while the practices themselves provide physician leadership, market knowledge and clinical excellence to create market-leading specialty care delivery systems. OSP is responsible for delivering high-value specialty care networks that overlay and integrate with SCA, OptumCare Care Delivery Organizations (CDOs), and other OptumCare partners.
Key Responsibilities:
- Works closely with the practice leadership team to ensure that KPI metrics of Revenue Cycle Operations are achieved and quality standards are met
- Acts as a strategic business partner with local leadership and operational OSP counterparts to identify RCO performance improvement opportunities
- Reviews, analyzes and interprets financial data to monitor progress toward established goals
- Assists with the ongoing management and evaluation of vendor relationships (domestic and offshore)
- Reviews business terms associated with vendor contracts/agreements and coordinates finalization with legal resources
- Ability to make effective and persuasive presentations on complex topics to management, public groups and or boards of directors
- Prepares for and presents RCO updates during monthly operational meetings to SCA and practice leadership
- Works with specialty practices to document core workflows, develop standard operating procedures, and coordinate implementation plans for the roll-out of new processes
- Assists with the integration of new technologies to ensure smooth transition
- Develops a positive culture by promoting positivity and collaboration with internal and external team members
- Provides direct leadership guidance to multiple teams across revenue cycle support lanes
- Fields questions from teammates, physicians, and practice leaders
- Strong Communication skills required