VP Revenue Cycle Billing/Collections Technology

COMPANY PROFILEAt approximately $31 billion in revenues, Kaiser Foundation Health Plan and Hospitals (KFHP/H) is Americas largest not-for-profit health maintenance organization. Named after Henry Kaiser, the company has grown from a 23-bed hospital into an integrated health delivery system serving 8+ million members in 9 states and the District of Columbia.Kaiser Permanente operates in 8 regions covering Northern California, Southern California, Colorado, Georgia, Hawaii, Ohio, Northwest (Oregon and Washington), and Mid-Atlantic States (Maryland, Virginia, and the District of Columbia). Care to Kaiser Permanente health plan members is provided primarily through Kaiser owned and operated hospitals (31), medical office buildings/ clinics, and over 11,000 physicians who are partners or employees of the Permanente Medical Groups. There are some 136,000 employees nationwide. Kaiser Permanente is a nationally and internationally recognized innovator in the provision of high quality, coordinated, evidence based health care. A significant volume of services in several regions is also provided through contracted networks of community hospitals, physicians and other providers.Kaiser Permanentes eight regions are comprised of separate but closely cooperating organizations. These organizations are:* Kaiser Foundation Health Plans (KFHP): A non-profit, public-benefit corporation that contracts with individuals and groups to provide HMO and other health benefit plans. KFHP contracts with Kaiser Foundation Hospitals and medical groups to provide services.* Kaiser Foundation Hospitals (KFH): A non-profit, public-benefit corporation that owns and operates hospitals in California, Oregon, and Hawaii; owns outpatient facilities in all states where we do business; provides or arranges hospital services; and sponsors charitable, educational, and research activities.* Permanente Medical Groups (PMG): Partnerships or professional corporations of physicians one in each Kaiser Permanente region. The full responsibility for providing and arranging necessary medical care is assumed in each region by the Permanente Medical Groups.Kaiser Permanente has a long-standing and strong commitment to its employees and to organized labor. The Labor Management Partnership (LMP) involves KPs collaboration with over 30 local and eight international unions representing approximately 85,000 KP employees. The LMP is the largest labor management partnership in the U.S. and involves commitments to the collective pursuit of employment security, quality care and service, and organizational performance.POSITION SUMMARYThe position will report to the Senior Vice President. the VP, Revenue Cycle Billing/Collection Technology (VP-RCT) also supports the Revenue Cycle Sponsors, including, Executive Vice President and Chief Financial Officer and, Executive Director of the Permanente Federation. The individual in this position will be responsible for the all technology aspects of the successful and timely implementation of all components of the successful billing and collections systems across all regions. The Revenue Cycle Program and Billing is a significant program impacting many of the regions clinical, business office, and health plan workflows. It will impact many of the existing KP HealthConnect, legacy clinical, revenue administration, and benefits eligibility systems. Ultimately, the program is charged with creating a world-class revenue cycle capability that ensures Kaiser Permanente collects all revenues it is due and has the operational platform to introduce new and innovative products into the marketplace to enhance Kaiser Permanentes competitive position. The VP, Revenue Cycle Billing/Collections Technology will partner closely with all of KP-IT, Program Office Revenue Cycle leadership, and Regional Business Information Officers to ensure a consistent and comprehensive approach to building, maintaining and supporting the Revenue Cycle & Billing platform. PRINCIPAL RESPONSIBILITIESDelivery* The VP is the executive responsible for the delivery of all aspects of technology platform required for the Billing/Collections Revenue Cycle, across all regions. The VP has responsibility for the design, build, test and support of all multi-regional systems supporting the Revenue Cycle processes. The VP is responsible for working with regional Business Information Officers to deploy those systems and to ensure that regional systems also support Revenue Cycle billing & collections processes. The VP is responsible for working with portfolio Business Information Officers to ensure other national application systems support the Revenue Cycle billing & collections processes and that those systems are deployed regionally. The VP is responsible to ensure delivery on time and budget.* Upon successful delivery of a release, the VP is responsible for maintenance and support, and meeting Service Level Agreements for multi-regional systems supporting the Revenue Cycle billing & collections processes.* In conjunction with the VP Revenue Cycle and Regional Revenue Cycle teams and leadership, the VP is responsible to ensure that the key performance indicators used to assess the effectiveness and accuracy of the Revenue Cycle billing & collections processes meet or exceed targets.Strategic Planning and Roadmaps* The VP works with the Program Office Revenue Cycle leadership to understand and document business problems to be addressed by the Revenue Cycle Program, develop the business case, gain sponsorship nationally and regionally, and develop the release plan to deliver solutions for the business problems. The VP is responsible to build and maintain the organization to complete that effort. The VP and the design team are responsible to create and maintain a revenue cycle design that incorporates solutions to current business problems, incorporates industry leading practices and Kaiser Permanente policy implications. ACCOUNTABILITIESDesign: Working with Subject Matter Experts inside and outside of Kaiser Permanente, develop an evolving technology design and roadmap for the evolution of that design which supports:* Regional roadmaps for continuous improvement of the revenue cycle enabling technologies* Revenue Cycle billing & collections release plans* Continuos improvement in Kaiser Permanentes Revenue Cycle capability* Reporting and analytics for executives regionally and nationally* New products that may be introduced by Kaiser Permanente nationally or regionally* Becoming and staying competitive, potentially introducing products unique to Kaiser Permanente* Working with Business Leadership, ensure business continuity plans are developed and deployed as appropriateDeliver: Working with the Program Office leadership, define Regional and National work efforts to deliver the technology related responsibilities associate with the Revenue cycle release plans, including:* Build national processes that support the effective deployment of services that enhance and strategically enable standard fulfillment of revenue cycle processes* Design and develop a cohesive national approach to billing and collections processing* Monitor all Revenue Cycle projects, work to prioritize projects to conform to the release plans, and resolve issues in ways mutually satisfactory to regional and functional business stakeholders and the IT Organization* Provide input to Multi-year and Long-Range Financial Planning efforts consistent with Release Plans and estimated levels of effort* Ensure the delivery team is appropriately staffed, skilled and motivated to provide long term support for production applications supporting the revenue cycle capabilities* Negotiate and manage service level agreements (SLAs); measure and report operational and program performance* Build and deliver integrated online self service capabilities to enable state of the art Online Bill Payment and Presentment Practices (OBPP)POSITION DIMENSIONS List the titles and grades of directly reporting positions (if any):1. Executive Directors2. Senior Managers3. Technical ManagersThe VP will manage a team of approximately 150+ individuals. The team consists of direct reports, indirect reports, re-charged resources, and consultants. * How many positions report under the direct reports above?RCSI - Estimated headcount in 2009 60 in RCSI. # will increase as org structure evolves over the next 18 months Does this position direct the work of others without providing formal supervision (that is, does it play a lead role as opposed to a supervisory role)? If so, explain.Yes. Build the Team: build and motivate a development and support team consisting of individuals from throughout Kaiser Permanente who impact the Revenue Cycle, both nationally and regionally.* Create a sustained community of practice for Revenue Cycle in conjunction with national and regional leadership* Develop a high performance design and delivery team by setting high standards and providing motivation, leadership and professional development for all staff.* Leverage the new IT organizational structure to create a CMM Level 3 delivery capability.* Build a technical and business leading organization that can drive best practices designed softwareKEY RELATIONSHIPSProgram Office Revenue Cycle LeadershipNLT Members responsible for Revenue CycleRegional Revenue Cycle LeadershipAll of KP-ITEDUCATION/EXPERIENCEThis position requires a seasoned IT executive who is collaborative and accustomed to working within a matrixed organization structure. It is expected that the candidates will have 15+ years of progressively more responsible IT experience. An advanced degree is strongly preferred. Experience in a senior leadership role in a large IT organization is preferred. The position requires an executive who can lead a highly distributed team effectively, influence decisions, develop consensus, and communicate effectively in business (non-technical) terms. Candidate will preferably have a billing and collections background with experience in Online Bill Payment and Presentment. (ODPP)Candidates will also have billing systems experience in design, support and operations. They should have the ability to lead software development teams in excess of 100 persons, and be adept at dealing with diverse requirements across multiple regions, in a single system. Accountability for data volumes should reflect substantial size and scale..REQUIRED COMPETENCIES* Experience with variable product billing and collections platforms* Leadership in the billing industry, both medical and other preferred* Experienced in high volume billing and collections systems performance* Experience in bill design and layout management including multilingual billing* Experienced in managing support teams in excess of 100 persons in multiple locations* Creative experience in taking difficult concepts and making them user/self-service friendly* Experience with revenue reconciliation and leakage management in the Billion dollar plus category* Previous experience in tuning and performance management of large systems is essential* Business case development experience for large transformational consolidation projects* Prior experience delivering online billing payment and presentment capabilities via the web* Experience integrating various backend systems to a consolidated platform with variable discount and enrollment methods* Experience in multi-variable rating processes and capabilities for high volume billingCollaboration/Influence: Actively gathers appropriate level of participation and input to decision-making, and fosters same within team. Persuades others to see/recognize new perspectives to reach best outcomes by utilizing buy-in, persuasion and relationship building.Team Focus: Assembles and effectively leads direct report and/or partnership teams. Exceptional facilitator of team work & decision-making in virtual and in-person settingsChange Leadership: Initiates and/or sponsors change efforts; aligns resources, overcomes resistance, and engages/motivates others to implement and sustain change efforts.Partnership: Strategically partners across areas, entities, and functions to achieve long-term performance goals and re-allocates resources as needed. Works to achieve win-win solutions to achieve outcomes. Holds others accountable for developing and maintaining partnerships.Results Orientation: Does what is necessary to improve performance; balances the resources necessary to produce desired outcomes; tracks and monitors performance.Confidence/Initiative: Has foresight and asserts a willingness to perform in challenging situations; learns from mistakes and from feedback from others.Reward/Recognition: Establishes and maintains a culture that values, rewards, recognizes and reinforces accomplishments, contributions and excellence.Cultural Competence: Considers and uses cultural dimensions in workforce planning and development, and the formulation and enacting of business strategies.Develops Others: Pays personal attention to the growth and development of others, provides constructive feedback, and creates development opportunities.Personal Development: Is open to and seeks new learning opportunities; embraces and responds to feedback from others.Emotional Intelligence: Demonstrates awareness and effective management of emotions in conduct of leadership responsibilities and how ones emotions impact decisions, actions and desired outcomes. Manages and adapts emotions in a constructive way to produce desired results.Personal Integrity: Acts in accordance with ones values, principles, beliefs, thoughts, and feelings.Apply online at jobs.kp.org and enter requisition number XXXXX. The benefits of working for an organization of our size and scope will change your career perspective in a healthy way.This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanentes policies and procedures.Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. Additional Information Reference Code: 1007862 Position Type: Full Time