WestDesMoinesRecruiter Since 2001
the smart solution for West Des Moines jobs

Executive Director Revenue Integrity

Company: UnityPoint Health
Location: West Des Moines
Posted on: March 10, 2023

Job Description:

The Executive Director of Revenue Integrity is responsible for organizing, leading, and improving revenue cycle performance at all facilities/clinics throughout the system. This position will focus on strategy, implementation and the continuous improvement in key revenue cycle department/functions. The Executive Director plays an important role in a high-profile group tasked with improving revenue results by taking a global view of the financial processes, functions and interdependencies from the initial patient contact through the final bill generation and payment. The position also needs to be knowledgeable on the interdependency of the Revenue Cycle performance and shared savings results.
The Executive Director of Revenue Integrity will establish strong relationships across the organization maintain visibility and foster a culture focused on quality, operational improvement and accountability. This position will work closely with Revenue Cycle, HIM, and Finance leadership to collaborate on advancing strategic direction and efficiency. This position will represent UnityPoint Health in matters related to the operational performance of the Revenue Integrity department.
This position is open to remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.
COVID-19 and Flu Vaccination Requirement: It is required to be fully vaccinated for COVID-19 and Influenza. Exemption requests based on medical or religious reasons may be submitted, but must be approved for active employment.
Why UnityPoint Health?

  • Commitment to our Team - We've been named a Top 150 Place to Work in Healthcare 2022 by Becker's Healthcare for our commitment to our team members.

  • Culture - At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

  • Benefits - Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.

  • Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

  • Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.

  • Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.

    Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org/
    Operational Leadership

    • Provide strategic planning and direction of innovative long-range strategy to achieve initiatives, priorities and goals of Revenue Integrity department. Ensure the strategy aligns with the overall mission and vision of UnityPoint Health and its affiliates.

    • Drive execution and transformational change within Revenue Integrity team to ensure effective, efficient, sustainable, compliant, and leading edge operations to contribute to the financial success of UnityPoint Health.

    • Ensure goals and services provided by the Revenue Integrity department and staff are aligned with organizational key performance indicators, goals and objectives.

    • Represent department in system-wide efforts to meet regulatory requirements and to improve the quality and performance of revenue cycle at all facilitates/clinics.

    • Build and maintain relationships with stakeholders, regions, and team members creating an environment where UnityPoint Health values are continuously exceeded.

    • Oversee new systems, products, and business implementations for Revenue Integrity team. Assess organizational strengths and weaknesses to recommend enhanced operational model.

    • Lead standardizing, creating and sustaining a common culture and high performing operation aligned with UnityPoint Health-System Services priorities and serving the needs of our regions and patients.

    • Motivate, facilitate, mentor, and coach team to deliver high quality, cost effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.

    • Evaluate performance of direct reports and teams. Make recommendations for personnel actions and motivate employees to achieve peak productivity and performance.

    • Develop procedures and policies for the operation of department, process and team members.

    • Develop department budgets for staffing, operations, and capital resources. Manage actual costs to budget and proactively address any unfavorable budget variances.

    • Maintain a strong, collaborative relationship and provide clear communication with all facilitates.

    • Present data, strategies, and progress toward goals in various governance management forums.

    • Maintain strong executive presence with regional CFO's.

    • Lead a cross functional team of department leaders for ongoing revenue cycle improvement and mitigating the risk of denials (denials prevention)

      Process Improvement and Analytics

      • Deliver financial results through process improvement initiatives in line with the comprehensive organizational strategy.

      • Lead and manage complex Revenue Cycle projects, working with key stakeholders across UnityPoint Health.

      • Coordinate and implement revenue cycle initiatives, including identifying and assembling resources when necessary.

      • Develop and manage initiatives to ensure the operations of the denials management team is in line with organizational goals. Initiatives will be implemented by cross-functional teams.

      • Interpret and oversee the implementation of complex rules and regulations governing insurance, appeal activities, trends, etc. and will make recommendations.

      • Actively engages, partners, and influences organizational leaders to ensure that operations and processes remain consistent and emulate best practices.

      • Work collaboratively with key stakeholders throughout UnityPoint Health to ensure that revenue and reimbursement are properly reported and support the services provided.

        Performance Monitoring

        • Establish and maintain ongoing performance monitoring.

        • Liaison with relevant stakeholders to develop priority projects and provide expert advice on best practice processes.

        • Actively monitor operational performance to anticipate and meet the needs of leadership. Maintain revenue cycle KPI's within established industry and/or UnityPoint Health standards and instills accountability and ownership at the appropriate level.

        • Meet with department leaders to review and interpret revenue cycle reports to drive accountability and transparency in performance.

        • Ensure revenue cycle data quality monitoring and related training. Monitor work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.

          Revenue Integrity and Compliance

          • Responsible for ensuring reimbursement is optimized and processes are put in place to minimize revenue leakage.

          • Interface with regional CFO's through operational performance reviews and ad-hoc troubleshooting.

          • Ensures that organizational integrity and regulatory standards are maintained in all Revenue Cycle policies, procedures and processes. Ensure that all team members know and understand their roles related to regulatory compliance.

          • Facilitate compliance with administrative/legal requirements and governmental regulations as they relate to Revenue Cycle operations.

          • Oversee revenue integrity of clinical departments in collaboration with the Informatics team providing education, training and tools for departments to successfully capture charges.


            • Bachelor's degree required in finance, business administration, or health management related field

            • Preferred:

            • Master's Degree in finance, business administration, or a health management related field.


              • 10 years of related experience in the revenue cycle or finance.

              • 10 years of management experience required.


                • Valid driver's license when driving any vehicle for work-related reasons.

                • Preferred:

                • HFMA, MGMA or AHIMA certification desirable.


                  • Strong leadership skills including professionalism, interpersonal skills, ability to communicate and negotiate effectively through written and verbal methods with varied audiences

                  • Demonstrated ability with process improvement.

                  • Fluent with Epic and Microsoft office programs. Ability to manipulate large amounts of data.

                  • Demonstrate and promote system thinking, including strong understanding of interrelationships of departmental delivery systems and the ability to collaborate across service lines and affiliates to ensure integrated delivery of services.

                  • Knowledge of change management.

                  • Ability to lead cross functional teams.

                  • Ability to manage large projects.

                  • Knowledge of regulatory and accreditation requirements.

                    Requisition ID: 2023-129006
                    Street: 1776 West Lakes Pkwy
                    Name: 9010 System Services Administration
                    Scheduled Hours/Shift: Monday-Friday, Days
                    External Company URL: http://www.unitypoint.org
                    Work Remotely within the US: Yes

Keywords: UnityPoint Health, West Des Moines , Executive Director Revenue Integrity, Executive , West Des Moines, Iowa

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Iowa jobs by following @recnetIA on Twitter!

West Des Moines RSS job feeds