Vice President of Revenue Cycle – Boston, MA

Accounting Management Solutions, a division of CliftonLarsonAllen LLP, is pleased to announce it has been retained to conduct a Vice President of Revenue Cycle search for Tufts Medical Center in Boston, MA. The Vice President of Revenue Cycle will provide centralized management for all revenue cycle functions within Tufts Medical Center and the Tufts Medical Center Physician Organization (P.O.). This position directs, manages and implements programs to insure efficient operations of the Tufts Medical Center and P.O. revenue cycle program in order to generate sufficient cash flow to support Tufts Medical Center operations and strategic initiatives.

TUFTS MEDICAL CENTER

In 1796, a group of public-spirited Bostonians established the Boston Dispensary as the first permanent medical facility in New England and one of the first in the country. The Dispensary’s founders funded vouchers that enabled the city’s poor to receive medical care; one of the original vouchers was signed by Paul Revere and can be viewed at the Historical Society. The Dispensary building is still on the Tufts Medical Center campus today.

Today, Tufts Medical Center (Tufts MC) is a 220-year-old renowned academic medical center with an adult and children’s hospital. The Medical Center provides the most complex and advanced care in downtown Boston and, distributing secondary care to the community through its network partnerships. It is the principal adult and pediatric teaching center for Tufts University School of Medicine. The Tufts MC network strategy of a distributed network has resulted in Tufts MC treating the highest percentage of the sickest patients of any other Boston hospital. Tufts MC is both a cost effective and convenient provider for patients. Tufts MC is recognized as the region’s value provider, achieving outstanding quality safety and patient experience ratings while maintaining a lower cost. (see CHIA Case Mix Index for detail). https://www.tuftsmedicalcenter.org/

RESPONSIBILITIES

• The Vice President will be responsible for the overall outcomes of the Revenue Cycle and include service level agreements (SLAs) which may involve of patient satisfaction, staff satisfaction, standardized processes, days revenue outstanding, and other revenue and expense targets.
• Identify, analyze, reduce and resolve all revenue cycle issues associated with:
• Hospital and professional inpatient and outpatient billing and insurance collections
• A/R resolution and guarantor collections
• Patient access/scheduling, admitting and Pre-registration
• Charge description master charge capture, and revenue enhancement
• Cash applications, financial reporting, denials management and revenue cycle audits
• Training and development, information technology performance improvement
• Patient call center and customer service
• Medical records (including coding)
• Will develop and maintain effective relationships with administrative and physician leadership across multiple sites.
• Will promote working relationships with key external organizations including other providers, payers, government entities and applicable professional
• Ensures that appropriate controls exist throughout the enterprise to create accountability and effective management of revenue cycle operations

QUALIFICATIONS

• Bachelor’s degree required, preferably in business, health or public administration, management or a related field. Master’s degree in hospital or business administration, accounting, finance or related field is preferred.
• At least 10 years management experience required in healthcare receivables field demonstrating ever-increasing and progressive responsibilities, particularly in academic teaching facility and/or large system CBO environment.
• Candidate must possess extensive knowledge of hospital and professional fee revenue cycle and regulatory requirements as they relate to the revenue cycle.
• Significant experience with payers, providers, hospitals and physicians
• Understanding of commensurate requirements for facilitating accounts receivable resolution, cash flow, billing, revenue enhancement and patient service issues.
• Strong presentation skills with the ability to effectively communicate to many different audience levels. Familiarity with computerized applications is essential.
• Experience within a centralized business office processing hospital and professional fee claims is required. Strong information-systems knowledge; system savvy with experience in successful conversions and upgrades
• Judgment, maturity, integrity and exceptional leadership qualities
• A “roll up your sleeves” ethos, a “can do” attitude and action-oriented approach to complex problems and a record of effective execution.
• The ability to work with people at all levels and to motivate them to change/focus to ensure organizational success.

PATIENT CARE DATA   

• Tufts MC has 415 beds
• Operating Revenue $908.7M
• Employed physicians – 500
• Employees – 5000
• Physicians in the New England Quality Care Alliance 1800
• Level 1 Trauma Center for adult and pediatric emergency care –adult ED visits 41,343 and 360,000 Clinic Visits
• Discharges – 17,800
• Resident and Fellows – 451
• Performs more heart transplants than any other academic center in New England
• NECQA outperforms other networks in the region (see MHQP HEDIS Quality Peer Group Score All Measures)
• Ranked #1 in efficiency by the University Health Consortium among academic centers
• TMC’s Primary Care offices in Framingham, Quincy, and Boston have achieved Level lll for Patient Centered Medical Homes by NCQA

THE TUFTS MEDICAL CENTER NETWORK

• Wellforce – An organization founded by Tufts MC and Circle Health Alliance at Lowell General Hospital in 2015. Wellforce is a value driven network of providers who are committed to better and more affordable care that is more likely to result in a well-supported clinician patient relationship. Wellforce is distinguished by innovations in care integration, population health management, access and operational excellence. The Wellforce Board has representatives from both organizations and each Hospital maintains its own independent board and CEO. The benefits of the Wellforce partnership are scale, technological collaborations and population health initiatives, providing the best hospital care environment for each adult and pediatric patient.
• New England Quality Care Alliance (NEQCA) – For 10 years, Tufts MC and NECQA physicians have worked together. The network of nearly 1,800 physicians is broadly distributed extending from the Merrimack Valley to the South Coast area. NECQA is a leader in assisting physician practices manages change, build population health capabilities, control costs and improve the quality of care. NECQA is also recognized as a high quality network in Massachusetts, ranking ahead of Lahey, Partners, Steward and Beth Israel Deaconess as illustrated by MHQP data. All three major health plans report that NECQA outperforms its peers in its ability to control health care spending.

HOW TO APPLY

All applicants should review the Tufts Medical Center website, www.tuftsmedicalcenter.org , to familiarize themselves with the programs and operations of Tufts Medical Center before applying. Applicants should submit a resume, cover letter, and a writing sample to msalkin@amsolutions.net.

To ensure timely review of your application, please put “TUFTS VP” in the subject line of your e-mail.

TUFTS MEDICAL CENTER is an equal opportunity employer and seeks qualified applicants without regard to race, color, sex, religion, national origin, age, disability, marital status, or sexual orientation.