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- Senior Financial Analyst
- Director of Managed Care
- Director of Revenue Cycle Operations
- Director of Finance
- Manager of Finance
- Chief Financial Officer
- Director of Internal Audit
- CFO Leadership Profile
- Network Relations Consultant
- Network Manager
- Provider Data Services Consultant
- Children’s Hospital Colorado
- HF Privacy Manager
- Charge Description Master Analyst Advertising Request
Aetna Currently has the Following Opportunities to Join the Team in the New York City Office
Senior Financial Analyst – 5412
Our client, a world-class, patient-centered, integrated, academic medical center, is currently seeking to hire a Senior Financial Analyst. The Senior Financial Analyst is responsible for performing general accounting, financial reporting, and analysis that support the overall financial results.
- Provide financial analysis for the hospital.
- Participate in annual and monthly budget planning.
- Generate a monthly budget performance report.
- Manage capital budget requests.
- Identify causes of variance within departments in order to recognize operational and financial opportunities.
- Utilize the general ledger system to provide budgetary and actual information using trends and projections.
- Employ the Cost Accounting Systemto analyze data including Profit & Loss, Contribution Margin, Payor Rates, and Trending.
- Bachelor’s degree in Business, Finance, or related field required; Master’s preferred.
- 3 years of related experience.
- Experience working with Tableau or similar program preferred.
- Experience with a not-for-profit, healthcare institution strongly preferred.
In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Senior Financial Analyst (5412) in the subject line of the email.
Director of Revenue Cycle Operations – 5406
Our client, one of the largest private multi-specialty physician practices in the Northeast US, is seeking to hire a Director of Revenue Cycle Operations.The Director of Revenue Cycle Operations oversee the overall accounts receivable functions of the organization. The successful candidate is an innovative team leader who can drive transformation in a growing organization. A major focus is team building to build and inspire a collaborative team to continue to excel utilizing analytical and lean methodology in the approach to revenue enhancement. All revenue cycle operations are managed internally.
- Lead operational and technical workflows, policies, and procedures.
- Utilize key performance indicators (KPIs) to identify trends, track results, and detect opportunities for improvement.
- Establish a quality control review program.
- Set goals, communicate expectations to staff, and follow-up with Unit Managers as needed.
- Boost employee morale, teamwork, and overall performance.
- Ensure that staff adheres to company policies and standards.
- One of 4 Directors encompassing 6 managers and 90FTE’s
- Bachelor’s Degree required
- 3-5 years in a revenue cycle supervisory role within a large healthcare organization
- Experience working with government reimbursement contracts, claim submission requirements, and compliance for all payers.
- Up-to-date on all Federal and Stateregulations related to billing and insurance.
In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Director of Revenue Cycle Operations (5406) in the subject line of the email.
Director of Managed Care – 5403
Our client, a premier accounting firm in NYC, is seeking to hire a Director of Managed Care.
- Mentor clients on managed care readiness and preparation regarding data collection, documentation, rates, electronic health records, and billing.
- Support clients withtheir transition to managed care, implementation support, and quality measures.
- Facilitate seminars/webinars on managed care for providers and funding sources.
- Negotiate contract and rates on behalf of our nonprofit and healthcare clients.
- Bachelors, Masters or MBA required
- CPA preferred
- 10 + years of relevant experience
- Knowledge of NYS Accounting Laws and Standards
- Experience working with a Value Based Payment System (VBP)
- Experience working with cost reports
In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Director of Managed Care (5403) in the subject line of the email.
Director of Finance – 5187
Hiring a Director of Finance for a family medical center providing healthcare services to low-income, under-served residents and those lacking access to health care. Reporting to the CFO, the Director of Finance will provide ongoing finance leadership and oversight of financial operations. The Director of Finance will oversee the annual operating budget. The ideal individual will be a proven leader that is able to motivate and develop their staff.
- Responsible for overall financial operations including business services,operational and capital financial planning, budgeting, financial reporting and auditing functions.
- Supervises a staff of 10+ in Accounting, Revenue Cycle and Purchasing
- Oversee training and development of staff to improve quality and efficiency of work practices
- Provide finance leadership to the management team; helps implement short term and long-term financial strategies and visions.
- Lead the annual budgeting process
- Perform monthly and quarterly budget variance analysis and forecasts to ensure financial obligations are met
- Lead the development and maintenance of comprehensive financial and operational reporting
- Participate in various presentations to all level of leadership, including Board of Directors and CFO
- Develop, review, and oversee recruitment and expansion business plans
- Provide financial leadership to divisional managers in fiscal oversight best practices including but not limited to: budgeting, planning, and maintaining internal controls.
- Facilitate departmental cost savings by implementing and maintaining financial best practices.
- Bachelor’s Degree in Business Administration or Healthcare Administration required
- MBA, MPA or Master’s Degree in a related field preferred
- Minimum of 5 years’ experience in healthcare and revenue cycle experience preferred
In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Director of Finance (5187) in the subject line of the email.
Manager of Finance- 5416
Our client, a world-class, patient-centered, integrated, academic medical center, is currently seeking to hire a Manager of Finance. The Manager of finance will prepare financial statements and budgets, review revenue and expense analytics, and supervise analysts.
- Manage monthly financial statement close and preparation process, including the review of journal entries and variance analysis from financial analysts.
- Manage accumulation of supporting schedules and key performance indicators that are included in the financial statement package for the Hospital.
- Present annual budget information for the Hospital and related entities.
- Collaborate with department managers on their expense budget submissions. Oversee input of budget information by the financial analysts into the Hospitals budget system. Supervise Hospital finance department management to ensure the department budgetsare accurately reflected in the consolidated Medical Center fiscal year budget.
- Ensure financial reporting requirements are received including but not limited to weekly volume statistics and daily cash receipts and A/R balance reporting.
- Manage Financial Analyst staff including performance management, recruitment and onboarding, assignment and delegation of work, and staff discipline.
- Bachelor’s Degree in Finance/Accounting required.
- CPA and/or MBA preferred.
- Minimum of 5 years healthcare finance experience.
- Strong knowledge of generally accepted accounting principles.
Chief Financial Officer – 5442
Our client, a national non-profit addiction rehabilitation organization, is seeking to hire a Chief Financial Officer. The Chief Financial Officer will oversee all fiscal and fiduciary responsibilities for the organization, in conjunction with the board of directors and the finance, audit, and risk committees of the board.
- Manage all accounts, ledgers, and reporting systems.Ensure compliance with appropriate Generally Accepted Accounting Principles, regulatory requirements, and audit requirements.
- Collaborate with IT department to procure specialized finance IT systems that meet the needs of the organization.
- Oversee cash flow and forecasting. Develop a reliable cash flow projection process and reporting mechanism that includes minimum cash threshold to meet operating needs.
- Optimize the development of banking relationships and initiate appropriate strategies to enhance cash positions.
- Administer budgeting and budget implementation to monitor progress and present financial metrics both internally and externally.
- Establish, monitor, and enforce internal controls to protect assets.
- Prepare financial projections and management report for the organization’s directors.
- Ascertain compliance with federal, state, and local legal requirements.
- Supervise the preparation of the 990 and Consolidated Fiscal Reports.
- Recruit, onboard, and train financial staff.
- Sets targets for and supervises all accounting and finance staff (accountants, billers and clerks). Generate reports on financial performance on quarterly and annual basis.
- 12+ years of finance experience.
- Bachelor’s degree in finance or business field; MBA preferred; CPA a plus.
- Revenue Cycle experience in healthcare preferred
- Working knowledge of OASAS and OMH cost reimbursement contracts.
Controller – 5451
Our client, a network of Family Health Centers with locations throughout New York City, is currently seeking to hire a Controller. The Controller will oversee allAccounting functions of the organization, including but not limited to Accounts Payable, Accounts Receivable, Cash Management, Payroll, Cost Accounting, General Ledger/Financial Statements, etc.
- Recruit, mentor/train, and supervise Accounting staff.
- Review and approve all financial transactions.
- Prepare monthly internal financial statements and analysis of same in a timely manner.
- Review and approve all required tax returns and filings for sign-off by the CFO and the President.
- Supervisepayroll and purchasing functions.
- Ensure that accounts payable are paid in a timely manner, including coordination of electronic banking transactions.
- Generateweekly cash position reports to the CFO and the President.
- Manage all banking relationships, bank accounts, cash balances, and ensure timely completion of bank reconciliations for all accounts.
- Assist the CFO in the conduct of the year-end audit of the Center’s financial statements.
- Maintain a system of controls over accounting transactions, including the chart of accounts, written policies and procedures, and departmental calendar.
- 10+ years of related work experience, including 5+ years of leadership experience.
- Bachelor’s Degree in Accounting or related field required.
- MBA/CPA preferred.
- Experience with an FQHC or Ambulatory Healthcare Environment.
In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Controller (5451) in the subject line of the email.
Director of Internal Audit -5459
Our client, a vibrant community teaching medical center and integrated delivery system is seeking an experienced Director of Internal Audit.
- Conducting the identification and assessment of financial and operational risks with management
- Coordinating and overseeing audits conducted by firms engaged to conduct audits.
- Developing annual and long-range plans for operating the internal audit function to minimize the Company’s exposure to significant risks identified.
- Implementing a program and approach for conducting audit procedures to evaluate management control procedures.
- Reports results of internal and external auditsto management and the Audit Committee
- Maintaining effective relationships with executive, accounting and operating management
- Evaluating the application of policies and procedures established over the Company’s policies and systems for compliance
- Monitoring operating activities for compliance with applicable regulations.
- Developing programs and procedures for examining and assessing other financial and operating activities.
- Conducting the audit for assigned engagements
- Preparing reports summarizing the results of procedures performed and recommendations for improvement and presenting the results to management.
- Devising and maintaining programs to correct and alleviate control and other operating
- Recommending changes and developing policies and procedures to address identified control deficiencies and improve efficiency
- Evaluating responses for alleviating reported control deficiencies and verifying implementation of proposed actions.
- Assessing the results of implemented policies and procedures for effectiveness and efficiency.
- Five or more years Work Experience in public accounting or healthcare
- Technical abilities to determine the nature and extent of audit tests; communicate material finds to the appropriate level of management, and descriptive report writing
- Knowledge of Word Processing software; Spreadsheet software and Database software
- Diversified operations and/or audit experience with healthcare organizations.
- Strong understanding of patient accounting and reimbursement principles including coding and billing
- Knowledge of healthcare fraud and abuse and Stark regulations
- Extensive comprehension of generally accepted accounting principles.
- Solid expertise managing and coordinating multiple projects.
- Excellent analytical and problem-solving skills.
- Strong verbal and written communication skills.
- Ability to plan and organize activities to accomplish assigned tasks.
- Bachelor’s in accounting or related field. Professional certifications preferred include CPA, CIA, CISA, or CFE.
Witt/Kieffer has been retained to assist Mercy Medical Center (Mercy) in Springfield, MA in the search for a high caliber,mission-driven and action-oriented Vice President,Finance to lead all financial areas for the hospital and its affiliated organizations. The chief finance executive participates with other senior management to address, interpret, resolve and monitor a broad and diverse range of financial, operational and strategic issues. The VP, Finance will be a key partner with other leaders in driving an initiative to turn around the financial performance of the Springfield region.
With 251 licensed beds and $420 million in net revenues across the region, Mercy is a community-based, patient-center hospital. Mercy is part of Trinity Health of New England, a regional health ministry of Trinity Health. Trinity Health is the second largest Catholic healthcare delivery system in the nation,covering 21 states from coast to coast with 92 hospital sand services that span the continuum of care. Trinity Health of New England consists of five hospitals across Connecticut and Massachusetts.
Reporting jointly to the President of Mercy and to the Regional CFO,theVP,Finance will play a critical role in over sightand execution of key strategic initiatives for the organization. Mercy is undergoing a transformational time and re-inventing itself as a key player in the healthcare market in western Massachusetts. The transformation calls for both a financial and cultural turn around. The successful candidate will be a strategic leader who has significant financial management experience.She or he mustbe acontemporary thinker,well versed inthe financial challenges of health care delivery. The VP, Finance will partner with others in the market, region and system leadership on a widerange of strategic and operational initiatives while engaging colleagues in change and the successful achievement of targeted outcomes. The VP, Finance must be comfortable working in a matrixed organization. For-profit and/or turn-around experience is a plus.
To find out more, please direct all nominations, expressions of interest and/or resumes to Trey Wilson via e-mail: firstname.lastname@example.org.
United Health Services
Senior Vice President and Chief Financial Officer
This Leadership Profile is intended to provide information about United Health Services and the position of Chief Financial Officer. It is designed to assist qualified individuals in assessing their interest.
Opportunity and Summary of Position
The Chief Financial Officer (CFO) will be an integral, contributing member of the United Health Services (UHS) senior management team and will effectively lead the Finance division for the system. Driving financial excellence and performance measures at the system level, collaboratively and respectfully engaging others in advancing initiatives, and partnering with the CEO and senior colleagues on strategic financing and other matters help to define the call for leadership for this unique opportunity. The CFO will foster an atmosphere supporting high performance and personal accountability and will serve as a contributing, strategic and operational leader, further advancing the organization’s strategic goal of elevating its performance-based culture while also consistently living the values of UHS.
This is an outstanding leadership opportunity with a well-respected organization committed to serving the more than 600,000 residents in the Southern Tier of New York and portions of Northeast Pennsylvania who rely on UHS for their care. With approximately $875 million in net revenue, UHS is one of the largest employers in the region and employs 6,300 people across its sites.
This role requires an innovative, technically superb leader who is by nature highly performance-oriented in advancing high quality finance and financial strategy services. The ideal candidate will be a collaborative, communicative, innovative and results-oriented leader. He/she will have a minimum of ten years finance management experience, a significant portion of which should be in health system organizations.
The CFO is responsible for working with Senior Management in implementing system-wide strategy and for planning, organizing, interpreting, and administering System financial policies and all financial operations. The CFO is responsible for monitoring and assuring the organization achieves its agreed upon performance targets, including but not limited to quality, patient satisfaction and financial goals. The CFO will work closely with the President and CEO and the Senior Management team in formulation of System goals and in the implementation of financial policies, strategies and objectives. In addition, the CFO will play an active role in support of the Board and Board committees; represent the System with regard to outside organizations and various external matters; and oversee other functions and programs as assigned.
The CFO will report directly to John Carrigg, President and CEO of the UHS System. The following areas report to the Chief Finance Officer:
- Revenue Cycle
- HIM/Medical Records*
- Risk Management*
Goals and Objectives – Measures of Success
The following goals and objectives have been identified for attention and focus during the early tenure of the new Chief Finance Officer:
- The successful candidate will be expected to develop personal credibility with all levels of leadership and employees, consistently exhibiting UHS’ organizational values. It is critical that the new executive be viewed as an engaged, present, creative, connected and values-driven individual. Visibility and engagement across all entities within UHS is a core expectation.
- While the finance function includes a talented, dedicated team with an abundance of operating strengths, the next CFO, like with any new leader, will conduct a comprehensive assessment of the strengths and opportunities for improvement of the Finance Division in terms of its services, functions, technology and organizational structure and strategic priorities.
- Provide leadership in payer negotiations and strategies, particularly relative to value-based care models, pay for performance, and other value-based payment strategies.
- Assist UHS in its growth trajectory by ensuring that Finance services are consistent, scalable, and proactive with an appropriate sense of urgency. The next CFO will be charged with staying current in healthcare finance practices and trends and being able to anticipate changes in the market place that may impact the system.
- Assist in the transition to the Epic and Revenue Cycle System that UHS plans to have go live in the 2nd quarter of 2020. All revenue cycle functions will be converting from Sorian to the Epic platform. With UHS having a strong revenue cycle function (A/R days are currently 34), ensuring the success of this new system will be critical.
- Provide leadership with the current Facility Master Planning initiative that is underway. Provide guidance for capital projects for UHS.
- Support and guide a collaborative capital and budgeting process with all levels within UHS; the focus will be on system-wide capital planning and in assisting leaders to prioritize capital needs.
- Lead and support the risk management function for the organization. A high-level understanding and ability to navigate alternate risk financing to support UHS’s self-insured captive program.
- Participate in the development of the annual operating plan.
- Continue to build the UHS’s balance sheet so the System is well positioned in the debt market and continues to meet the needs of a growing health care delivery system.
- Assist UHS’s leadership in the sale of the Ideal Senior Living community.
- Develop an effective partnership with the Finance Committee of the Board.
- Guide long range planning and visioning for the management of all resources – fiscal, capital and people. Anticipate threats and opportunities for the System.
- Partner with the CEO and others leaders with identifying initiatives and programs that support one of UHS stated strategic goals; improving its performance-based culture. It is critical the CFO establish him/herself as a partner and advisor to operational and clinical colleagues and a catalyst for the advancement of initiatives.
- Develop strong relationships with UHS’ clinical leaders and provide counsel and support to UHS’ growing physician enterprise. The CFO should establish her/himself as committed to patient care and supportive of initiatives and programs that support caregivers. With this role being a system-wide leadership role, the CFO will be closely involved in supporting initiatives that impact all facets of the health system organization.
- Ensure the Finance Division is proactive and customer service oriented, while stressing accountability and flexibility in meeting the System’s needs.
- Mentor UHS finance staff and assess their future development needs.
- Create an identity within the community by participating in local activities and organizations that fosters both personal and organizational visibility.
The successful candidate will bring the following to the role of Chief Financial Officer:
The ideal candidate will bring:
- A successful track record with progressive, contemporary experience in leading an effective Finance Division and implementing current best practices in the healthcare field.
- A commitment to and track record of improving key financial measures, including accounts receivable, financial planning, and cash flows.
- Successful development of staff and teams. Effective team building through increasing the collective focus, orientation and overall performance of teams.
- An inspirational leader with a positive history of working collaboratively and respectfully with colleagues and senior leadership to define current and future needs of an organization. Someone with an ability to listen well.
- Demonstrated success within a complex organization, preferably with experience in healthcare system integration.
- Must be a seasoned, contemporary finance executive with experience in the areas of finance, business operations, treasury, revenue cycle operations, risk management, strategic planning and managed care contracting.
- Depth of knowledge of the economic drivers of clinical operations, including a relevant scale initiative to reduce cost of care and overhead across the System.
- Expertise in cash management and prudent oversight of risk payment/pay for performance contracting models under managed care and government insurance programs.
- A proactive, service-oriented person who has experience in using and developing realistic financial projections and analysis to support decision making.
- A thorough understanding of hospital accounting processes and GAAP.
- A high-level working knowledge of cost/productivity management systems and experience creating business intelligence tools in support of clinical and operational areas.
- An in-depth understanding of risk management, particularly in self-insured captive programs.
- A demonstrated track record of working effectively with non-financial managers on their budgets and variances.
- A leader comfortable with negotiating with various internal and external constituents.
- A proven track record of leading projects and teams as well as excellent project management skills and experience managing multiple priorities.
- Ability to create a culture of pride and personal accountability, as well as a trusting environment where open communication and transparency is the norm. A history of positive employee relations experience is essential.
- Experience improving systems and processes, building credibility with customers, focusing on continuous improvement, measurement and best practice assessment.
- A solutions-oriented leader who is able to maintain a proactive approach with an open mind to innovation and progressive initiatives. Proactive in identifying strategic and organizational issues.
- Ability to rapidly earn credibility by creating the followership of an effective leader and performing above expectations.
- A personal style that emphasizes openness, visibility and connectivity. Ability to convey the organization’s enthusiasm, confidence, goals, and mission and inspire those things in others. Must be able to connect with people in a meaningful way at all levels within the organization in keeping with the culture of the senior leadership team.
- A self-motivated, hard worker who holds people accountable, but also encourages creativity and the free exchange of new ideas. Empowers subordinates, maintains a sense of humility and enjoys giving credit to others.
- Action-oriented and resourceful.
- A seasoned, confident leader who will advocate for employees.
- A patient-centric leader who maintains a strong focus on what is doing right for those served by UHS.
- Must have a strong commitment to the team approach and be able to mentor his/her direct reports, empower others and have strong motivational skills.
- Strong leadership skills, including delegation, follow-through, accountability and leading by example.
- A consensus builder who understands, listens, and encourages expression of other points of view. Employs a participative, collaborative management style, respecting the dignity of all individuals.
- Someone comfortable leading through a period of change and some ambiguity.
- Excellent oral and written communication skills.
- Able to effectively function in an evolving internal and external environment while keeping others engaged.
- A bachelor’s degree in Business Administration, Accounting/Finance or related area is required. A master’s degree in Business Administration and/or CPA is strongly preferred.
Mission and Overview of United Health Services
UHS is a comprehensive regional health system whose mission is to improve the health of those we serve through our commitment to excellence in all that we do.
UHS, the region’s leading integrated healthcare system, will demonstrate exceptional value in the delivery of coordinated, patient-centered care.
We are committed to the values of UHS, which we believe reflect those of the people and communities we serve. These values guide our actions and decisions. We are committed to living by these values each and every day.
Caring means that we show compassion in how we treat others. We show sensitivity to their concerns, problems or pain. We reassure them that they are not alone.
Service means helping others get what they need, and, where possible, giving even more than they expect. We pledge to provide service to all in need, regardless of their financial means, race, creed or other life circumstances.
Partnership means we use teamwork to accomplish more than any of us could working alone. We believe we can best serve and care for others by blending the talents and dedication of many caring people and organizations.
Learning means improving our knowledge and skills to benefit others. We seek the knowledge, wisdom and insight that will enable us to best serve and care for others.
Integrity means we are honest in what we say, and we are true to our word. Honesty and competence are fundamental to our relationships with others.
Respect means seeing the best in others, regardless of who they are. We offer each person we serve or work with our respect and understanding, recognizing their special needs and individuality in our words and actions.
Stewardship means that we use our community’s health resources wisely. The community has entrusted us with responsibility to manage our health system for the benefit of both current and future generations.
United Health Services (UHS) is a regional healthcare delivery system consisting of healthcare providers and supporting organizations primarily serving New York’s Southern Tier and surrounding areas. UHS providers are geographically dispersed through Broome, Tioga, Chenango, Delaware, Otsego, and Tompkins counties. UHS is the largest healthcare system and private employer in the Greater Binghamton region, employing approximately 6,300 employees and serving over 600,000 residents. UHS is the parent corporation responsible for planning, coordinating, monitoring and supporting system development and integration.
The system includes the following members and affiliated organizations:
UHS Hospitals is comprised of UHS Binghamton General Hospital and UHS Wilson Medical Center, acute care facilities located in the Binghamton metropolitan area. With 500 inpatient beds and extensive outpatient services, UHS Hospitals offers tertiary, acute, and rehabilitative services, including: cardiology, structural heart, cardiovascular surgery, neurosurgery, pain management, medical oncology, surgical oncology and radiation oncology, orthopedics, neonatal intensive care, trauma, reconstructive surgery, physical rehabilitation, behavioral health, addiction treatment services, and transitional care. UHS Hospitals is the only regional provider of many of these services.
UHS Hospitals also provides primary care and specialty physician services in sites dispersed throughout its primary service area. UHS Hospitals is currently approved by the Accreditation Council for Graduate Medical Education (ACGME) and the Council on Podiatric Medical Education (CPME) for Residency programs in internal medicine, family practice, preliminary medicine, transitional year and podiatry. In addition, UHS Hospitals is approved for Fellowship Programs in Sports Medicine, Geriatrics, and Cardiovascular Disease and Gastrointerology. In addition, UHS Hospitals has non-accredited Graduate Medical Education Programs in Neuro Critical Care and Endovascular Surgical Neuroradiology.
There are a total of 86 Residents and Fellows practicing in these UHS Hospitals Graduate Medical Education Programs.
UHS Medical Group
UHS Medical Group is a multi-specialty group that predominantly practices in UHS Hospitals licensed sites. The group consists of approximately 430+ physicians and allied health professionals representing twenty medical and surgical specialties with offices in Broome, Chenango, Delaware, Otsego, and Tioga counties.
UHS Chenango Memorial Hospital
UHS Chenango Memorial Hospital is located in Norwich, New York and operates 41 acute and 80 skilled nursing beds, complemented by a network of primary care and specialty physician offices within Chenango Country.
UHS Delaware Valley Hospital
UHS Delaware Valley Hospital is a Critical Access Hospital located in Walton, New York, offering diagnostic imaging, special procedures, a 24 hour emergency department, and short stay inpatient care, an Addiction Treatment Program, and three primary care centers within Delaware County and Sullivan County.
UHS Senior Living at Ideal
UHS Senior Living at Ideal is a geriatric campus, located in Endicott, New York. It serves over 250 elderly persons and individuals with chronic illness through its skilled nursing facility, adult home care program, assisted living program, as well as residential services in independent living apartments.
UHS Home Care
UHS Home Care operates a licensed home health agency (Professional Home Care,) which provides high-tech nursing care, respiratory services, home medical equipment/supplies, and personal care services. UHS Home Care also operates a Medicare certified agency (Twin Tier Home Health,) which provides nursing, physical therapy, occupational therapy, social work, nutritional services, and home health aide care. UHS Home Care serves Broome, Chenango, Cortland, Delaware, Tioga, and Tompkins Counties.
UHS Foundation, Inc.
The UHS Foundation is an independent not-for-profit corporation, whose purpose is to raise money to fund improvements at UHS. Through gifts, endowments, and fundraising efforts, the UHS Foundation works to support the mission of UHS.
Southern New York Indemnity Company, LLC
Southern New York Indemnity Company is a limited liability captive insurance company domiciled in the state of Vermont whose purpose is to provide a long-term, cost-effective source of medical professional and general liability insurance, event reporting, claims management, and adjustment, as well as risk management and education services to all members of the UHS system in support of its strategic direction.
The UHS System has facilities that serve patients across the Southern Tier of New York, and the facilities and staff are an integral part of the communities they serve.
Situated between the Catskills and the Finger Lakes in the Southern Tier of upstate New York, Broome County combines small-town charm with the cultural attractions of a major city. The birthplace of IBM, it is home to Binghamton University, the premier public university in the Northeast. Greater Binghamton consistently receives high quality-of-life ratings from national surveys, and is especially noteworthy for its proud and diverse ethnic heritage.
Nestled in the Western foothills of the Catskill Mountains, Walton offers the best of small town living. The beauty of nature surrounds the community which offers a safe, secure environment for all ages. Life is focused on family, and community. An excellent school system offers academic, arts, music and sports opportunities for children.
With an area of 900 square miles and a population of approximately 50,000, Chenango County is known for its warm, friendly people, unrivaled lifestyle and beautiful natural surroundings. The county has been the home of many well-known businesses including Procter and Gamble Pharmaceuticals, Borden’s evaporated milk, Elmer’s products and Champion. Currently businesses including Chobani Yogurt, Raymond Corporation and Golden Artist Colors call Chenango home.
Procedure for Candidacy
Please direct all nominations and resumes to Paul Bohne and Melaney Arruda preferably via e-mail to UHSCFO@wittkieffer.com. Any materials which cannot be submitted electronically please remit via mail to Melaney Arruda at the address listed below.
35 Corporate Drive, Suite 290
Burlington, MA 01803
United Health Services values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law.
The material presented in this leadership profile should be relied on for informational purposes only. This material has been copied, compiled, or quoted in part from United Health Services documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern.
All images and logos used in this leadership profile were attained from United Health Services and/or are owned by Witt/Kieffer via Getty Images.
Witt/Kieffer is the preeminent executive search firm that identifies outstanding leadership solutions for organizations committed to improving the quality of life.
The firm’s values are infused with a passion for excellence, personalized service
Network Relations Consultant – #54526BR – New York City
Acts as the primary resource for assigned, high profile providers or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved.
Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination.
Performs credentialing support activities as needed.
Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures.
Meets with key providers periodically to ensure service levels are meeting expectations.
Manages the development of agenda, validates materials, and facilitates external provider meetings.
May collaborate cross-functionally on the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution.
Conduct standard provider recruitment, contracting, or re-contracting activities and assist with more complex contracting and discussions as needed by business segment.
May provide guidance and training to less experienced team members.
BACKGROUND/EXPERIENCE desired:3+ years’ experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.
Working knowledge of business segment specific codes, products, and terminology.
3-5 years’ experience with business segment specific policy, benefits, plan design and language.
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.
EDUCATIONThe highest level of education desired for candidates in this position is a bachelor’s degree or equivalent experience.
Functional – Network Management/Contract negotiation/3-6 Years
Functional – Network Management/Provider relations/3-6 Years
Functional – Network Management/Provider data services/3-6 Years
Network Manager – #54528BR – New York City
Please apply on-line : https://www.aetnacareers.com/job/new-york/network-manager/41/9677586
Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market/regional/national based group/system providers in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.
Negotiates and executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market-based, group/system providers.
Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies.
Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Accountable for cost arrangements within defined groups.
Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.
Serves as SME for less experienced team members and internal partners.
Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit.
Assists with the design, development, management, and or implementation of strategic network configurations and integration activities.
May optimize interaction with assigned providers and internal business partners to manage relationships to ensure provider needs are met.
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.
BACKGROUND/EXPERIENCE desired:Strong communication, critical thinking, problem resolution and interpersonal skills.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with individual or complex provider systems or groups.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
EDUCATIONThe highest level of education desired for candidates in this position is a Bachelor’s degree or equivalent experience.FUNCTIONAL EXPERIENCES
Functional – Network Management/Contract negotiation/4-6 Years
Functional – Network Management/Provider relations/4-6 Years
Benefits Management/Interacting with Medical Professionals/MASTERY
General Business/Turning Data into Information/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Benefits Management/Promoting Health Information Technology/ADVANCED
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Creating a World Class Workforce/FOUNDATION
Provider Data Services Consultant – #54866BR- New York City
This role be based on-site in our NY City office and is an excellent opportunity to gain experience in the health insurance field.
In this support role, the incumbent will concentrate on provider data transactions associated with projects, expansions, and new product implementations. Resolves high volume/high impact systemic problems through proactive and reactive mechanisms (e.g. automation, route audit programs, data reporting, root cause analysis).
Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, rework and audit trends) and recommends process improvements.
Establishes, maintains and aligns complex contracted provider demographic data and negotiated reimbursement arrangements across provider systems.
Creates and manages action plans for assigned projects relative to data quality and/or workflow improvements. Ensures that all impacted constituents are considered and appropriately addressed in action plans.
Provides technical and/or functional leadership within unit (i.e., team lead).
Performs validation of system enhancements.
Extract information from provider systems to meet business reporting needs (i.e., DAF reports, fee schedule reports, Service Center Log).
1+ Years of experience and knowledge of Provider Data Services systems and other end user applications.
1+ years of project management experience.
1+ Year of EXCEL experience required.
The highest level of education desired for candidates in this position is a Bachelor’s degree or equivalent experience.
General Business/Applying Reasoned Judgment/MASTERY
Sales/Managing Competitive Networks/ADVANCED
Technology/Selecting and Applying Technology Solutions/ADVANCED
General Business/Ensuring Project Discipline/FOUNDATION
Leadership/Anticipating and Innovating/FOUNDATION
Service/Working Across Boundaries/FOUNDATIONAetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
The VP will inherit a high performing team of financial professionals. He/she will support the Chief Financial Officer and other members of the leadership team with timely and accurate information to help drive business decisions. The VP will work collaboratively across the health system, continuing to build upon a culture rooted in accountability as well as the highest levels of quality and follow-through. Key areas of responsibility for the position include financial systems management, financial accounting and reporting, continuous forecasting and planning, decision support, payroll, accounts payable, capital asset management and treasury. This new executive must be a proven finance leader, with a strong grasp of details, management expertise and a highly collaborative personal style. While this leader will ensure that the day-to-day finance activities operate in a highly effective manner, he/she must also continually look for process improvements and innovation opportunities that will strengthen CHC’s market leadership position.
The ideal candidate will have experience as a proven health system finance leader. He/she will have had prior experience within a multi-site operation and managed/mentored a high-performing team of accomplished finance professionals. In addition to an undergraduate degree in finance, accounting, or business, an MBA and/or a CPA certification is strongly preferred. Candidates must have 7 years of progressive leadership experience in the financial management of a complex hospital or healthcare organization.
Nominations and requests for additional information may be sent to the attention of Chris Neumann and Mark Andrew at email@example.com.
Health First- Privacy Manager
Please click here to apply : https://healthfirst.wd1.myworkdayjobs.com/healthfirst/job/New-York-NY/Privacy-Manager_R004675
The Privacy Manager will serve as the primary lead for maintaining, ensuring and fostering an environment that enhances and promotes compliance with privacy-related laws, regulations, policies and procedures in an effort to build a culture of privacy. The Privacy Manager serves as an active member of the Privacy Office and is involved in all activities related to the operation of the Healthfirst Privacy Program.
- Conducts and promotes Privacy training and awareness to the workforce.
- Responsible for Privacy training content & design as well as planning instructor led-events and webinars.
- Manages and leads Healthfirst privacy impact assessments (PIAs) in order to identify risks involving the collection, access, use, protection, storage and destruction of Protected Health Information (PHI) and Personal Identifiable Information (PII). Works with stakeholders to develop risk mitigation plans.
- Represents Privacy in Healthfirst’s Vendor Management Program, which includes onboarding and annual Privacy assessments of its Business Associates (BAs).
- Develops and maintain Healthfirst privacy policies and procedures.
- Investigates and researches Privacy incidents and complaints, including issues involving employee access and use of PHI. Interviews employees and recommends appropriate corrective action to key stakeholders.
- Collaborates with Security on activities involving ePHI such as potential breach incidents, vendor transmission of PHI, or Company-wide risk assessments.
- Supports the Director of Privacy in maintaining Healthfirst’s Breach Incident Response Plan.
- Participates in the development of the annual Privacy Work Plan and is responsible for driving various privacy projects within the Work Plan. This includes an analysis of the Plan to ensure it supports the Privacy Program as well as aligns to the Company’s mission, vision and goals.
- Manages, conducts and designs Healthfirst’s privacy walk-throughs of its corporate site and off site locations
- Participates in the design of Healthfirst’s Community Offices, kiosk locations and mobile RVs to ensure these spaces safeguard PHI and PII as well as promote privacy and confidentiality.
- Conducts Privacy Reviews to assess Healthfirst’s compliance with federal/state privacy regulations and monitors corrective action plans
- Remains current on the health care privacy landscape in order to determine how Healthfirst will be impacted. This can be done through participating in external professional Privacy forums or networks such as the International Association for Privacy Professionals (IAPP), Health Care Compliance Association (HCCA) and America’s Health Insurance Plans (AHIP), etc.
- A Bachelor’s Degree from an accredited institution
- Deep understanding of all aspects of the HIPAA Privacy Rule, which includes the ability to articulate complex rules and regulations and how they impact Healthfirst and the health care industry
- Prior experience in health care provider, payer or other healthcare-related setting working with the HIPAA Privacy Program
- Efficient project management skills
- Ability to either work independently or in a team
- Possesses keen attention to detail in order to “issue spot” and escalate appropriately
- Exhibits strong critical thinking and problem solving skills
- Strong verbal and writing skills; ability to understand the intended audience in order to communicate effectively
- Exhibits diplomatic skills than can foster collaborative relationships across the Company in order to deliver results
- Proficient in MS Office: Word, Excel, and PowerPoint
- Master’s Degree preferred from an accredited institution
- Possesses an appreciation for information technology (IT) and applications and an understanding of how PHI and PII flows from system to system
- Experience working with a Medicare, Medicaid and/or commercial payer
- Working knowledge of Microsoft Sharepoint
- Familiarity with Salesforce
- Knowledgeable of AWS cloud infrastructure
- Experience communicating with regulatory agencies such as the Office of Civil Rights (OCR), New York State Department of Health (SDOH), Department of Financial Services (DFS), etc.
- Familiar with hospital settings and systems
- Privacy certification such as CIPP-US, CIPM, CHPC, or the ability to certify within 6-12 months of hire
Charge Description Master Analyst-1901123
At Stony Brook Medicine, the Charge Description Master Analyst is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize revenue generation and maintain compliance with State, Federal and third party payer regulations and requirements across the health system.
It is expected the incumbent will be a CDM software (Craneware) super-user. Qualified candidate will have the ability to perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review.
Duties of a Charge Description Master Analyst may include the following but are not limited to:
- Provide charging advice, support and education to Hospital departments, affiliates and other stakeholders
- Utilization of coding guidelines, billing and payment regulations, and third party contracts, as well as the Hospital inventory management system, electronic medical record and departmental documentation programs
- Continually interact with Hospital department staff to ensure that all chargeable procedures, treatments, supplies and implants are appropriately charged
- Engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured
- Work with Information Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies
- Utilize the hospital’s charge master maintenance software (Craneware) to maintain the integrity of the charge master and ensure adherence to hospital policy with respect to pricing and materiality
- Perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review
- May assist in the resolution of pre-billing charging issues and post-payment charge related denials
- Assist in system configuration and maintenance
- Act to support service departments and interfacing with vendor technical support as needed
- May assist in the resolution of pre-billing charging issues and post-payment charge related denials
- Other duties as assigned
Required Qualifications: Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field and at least 3 years of experience in charge master maintenance, analysis, audit or review orAssociates degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field plus relevant professional certification or licensure (CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification) and at least 5 years of experience in charge master maintenance, analysis, audit or review. Working knowledge of CPT, HCPCs and ICD-10 coding principles. Proficient in Microsoft Excel. Excellent written and verbal communication skills.
Preferred Qualifications: Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science and CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification. Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. Knowledge of other governmental and third party payer reimbursement methodologies. Proficiency in the use of Craneware Active Charge Master Toolkit, Pharmacy Chargelink, Supplies Chargelink and/or Bill Analyzer. Experience in Revenue Cycle Operational areas including: coding, revenue integrity, patient accounting and/or reimbursement. Operating Room supply-chain, procurement experience. Healthcare delivery, operations or administration experience in an Academic Medical Center.
Special Notes: The review of applications will begin on 05/22/19.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients’ lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island’s premier academic medical center. With 603 beds, we serve as the region’s only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children’s Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County’s only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation’s first Pediatric Multiple Sclerosis Center.
Stony Brook University is an Affirmative Action/Equal Opportunity employer. We are committed to the creation of a diverse and inclusive campus climate. We encourage protected veterans, individuals with disabilities, women and minorities to apply.
This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at firstname.lastname@example.org.
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Senior Financial Analyst
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-Stony Brook
Department/Hiring Area: Revenue Cycle Mgmt-Stony Brook University Hospital
Shift: Day Shift Shift Hours: 8:00 AM – 4:30 PM Pass Days: Sat, Sun
Posting Start Date: May 16, 2019
Posting End Date: Ongoing
Salary: Commensurate with Experience
Salary Grade: SL4
WittKieffer has been retained by Mount Nittany Health located in State College, Pennsylvania, to aid in the recruitment of the system’s next Executive Vice President, Chief Financial Officer (CFO). This is a tremendous occasion to join a high performing team in an independent health system that allows executives to be nimble and impactful in their contribution to the health and wellness of the communities they serve.
With 260 beds and $450M in net revenue, Mount Nittany Health is a dominant player in the region. The system includes Mount Nittany Medical Center, a 260 bed acute care facility that has served the community for over 100 years; Mount Nittany Physician Group, a group of more than 150 healthcare providers; and Mount Nittany Health Foundation.
Reporting directly to the President and Chief Executive Officer, the CFO will be responsible for providing financial leadership across the system and will support the institutional success that aligns with the system’s broader strategic plan. The CFO will partner with an enthusiastic, high performing executive team who highly values teamwork and collaboration. The incoming CFO must be able to think beyond finance and be a visible, engaging leader across the system. S/he will also need to identify opportunities to mentor, develop, and grow the staff. Successful candidates must demonstrate the ability to motivate and influence others through inspiration, excellence, passion and data.
We seek a collaborative, authentic leader who brings a results-oriented approach tempered with compassion. The ideal candidate will have a minimum of ten years of senior finance leadership experience. S/he will need to have a track record of success partnering with the executive leadership team and building strong physician and staff relationships.
Interested parties should direct all resumes, nominations, and inquiries to Donna Padilla and Beth Nelson through the office of Keshia Harris preferably via email to email@example.com or 678.302.1555.