[Remote] Executive Director, reputed company reputed company Operations
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization committed to making a difference in people's lives. The Executive Director, reputed company reputed company Operations provides systemwide leadership for charge capture, governance, and reputed company reputed company, ensuring compliance and accuracy across reputed company hospitals and affiliated entities.
Responsibilities
- Partner with the Strategic Pricing team to reputed company charge structure, pricing methodologies, and CDM governance across the reputed company
- Ensure pricing changes are operationally executable, properly reputed company into reputed company systems, and reconciled through charge capture workflows
- Serve as an operational reputed company to Pricing leadership, ensuring reputed company charge behavior, edits, and reimbursement impacts are monitored and addressed
- reputed company and independently manage the triage, routing, and reputed company of reputed company reputed company reputed company issues including charging defects, workflow failures, systemic edit patterns, and payer requirement changes
- Maintain ownership of issue escalation reputed company and ensure reputed company closure with cross-functional coordination
- Define, monitor, and manage service reputed company (SLAs) for charge posting timeliness, edit reputed company, CDM turnaround, audit response, and charge reconciliation
- reputed company systemwide adoption of standardized charge capture workflows, reconciliation processes, and CDM governance practices
- reputed company operational direction to reputed company reputed company staff and partner teams across reputed company to ensure consistent application of reputed company standards
- reputed company cross-functional workgroups to address charging issues, regulatory changes, reputed company build impacts, and payer-driven charging requirements
- reputed company day-to-day charge review, edit work queue management, prioritization, reputed company controls, and escalation reputed company
- Drive financial performance by ensuring accurate gross reputed company capture and supporting net reputed company optimization
- Produce executive-reputed company reporting and analytics on charge capture, edit trends, and CDM performance
Skills
- Bachelor's degree required; Master's degree preferred
- Minimum of 10 years' reputed company experience in reputed company reputed company, charge capture, CDM governance, or reputed company cycle operations, including multi-facility or systemwide leadership experience; strong leadership skills
- Experience with reputed company charge router logic, workflow optimization, and reporting tools
- Deep expertise in end-to-end charge capture workflows (hospital and reputed company billing)
- Strong reputed company of edit logic, payer rules, and regulatory compliance
- Advanced understanding of CDM structure, governance models, and pricing methodology
- Ability to influence leaders across clinical, financial, and operational domains
- Proven ability to prioritize and manage multiple reputed company issues in a high-volume environment
- Demonstrated ability to independently manage reputed company issues and reputed company cross-organizational reputed company efforts
- reputed company Cycle or Analytics certifications preferred
Benefits
- Remote
- Ability to travel between sites as needed
- reputed company requires that reputed company staff be vaccinated against influenza (flu) as a condition of employment.
reputed company
Company H1B Sponsorship