Senior Manager, National Revenue Cycle SOX (Oakland, CA)

002885   Senior Manager, National Revenue Cycle Sox (Oakland, CA)  
 
Job Description:
 
The Sr. Manager, Revenue Cycle SOX will lead the Revenue Cycle Sarban...

Senior Manager, National Revenue Cycle Sox (Oakland, CA)

Job Description:

The Sr. Manager, Revenue Cycle SOX will lead the Revenue Cycle Sarbanes-Oxley (SOX) strategy development, planning, and implementation and key revenue cycle projects for designated KP regions. The position will work closely with Regional leadership to establish processes, revenue reporting, control standards and implementation of an effective infrastructure that addresses SOX and audit requirements and mitigates risk to the Region. Will oversee implementation of compliance with Sarbanes-Oxley (SOX), as well as other revenue cycle and financial controls projects. Ensures there are processes in place to monitor corrective action plans and works with stakeholders address control, process, and revenue cycle system deficiencies. The incumbent will work in collaboration with multiple cross-functional teams to assure effective implementation of common systems and processes that add value to our members, improve current competencies, and otherwise support the KP´s corporate strategy and priorities. Establishes effective relationships with Regional Controllers, Regional Revenue Cycle Leaders, Program Offices, Compliance Officers, and their respective staff.

Essential Functions:
- Champions SOX, control, revenue reporting, and risk mitigation activities in Revenue Cycle processes for designated KP Regions, including leadership of project manager(s) responsible for the facilitation of SOX implementation in the designated Regions.
- Manages a team of professional staff to educate on revenue cycle and internal controls, ensure remediation of control deficiencies, and provide expert consultation on financial control issues and solutions to mitigate risk to Revenue Cycle leaders in a KP Region.
- Provides leadership to senior project managers in assisting business owners with development and deployment of solutions to address process weakness.
- Directs staff to develop financial policies.
- Implements monitoring processes to ensure compliance with policies and procedures to accomplish corporate short- and long-term objectives and regulatory body requirements.
- Implements multidisciplinary project plans to comply with SOX and other key financial initiatives, including both system and business process components, in designated Regions.
- Provides leadership and technical direction through the sharing of new tools, techniques, and problem solving approaches.
- Works directly with business process owners and Regional SOX teams on the implementation of SOX controls, including business process re-design, policies, procedures, documentation, evidence evaluation, and system enhancements.
- Provides change leadership through the administration of a change implementation process for SOX and financial controls for designated areas of accountability.
- Effectively communicates as appropriate, in both written and verbal formats, the strategic vision, expectations, guidance, risks, action plans, progress, and other key items to constituency and oversight groups, including but not limited to:: VP Revenue Cycle, Director of Revenue Cycle Controls & SOX Compliance, Regional Controllers, Regional SOX Leads, Regional Revenue Cycle Leaders, and Business Process and Control Owners.
- Identifies opportunities to leverage systems, processes, standardization, and other vehicles to lower cost while maintaining or improving controls and customer service.


Basic Qualifications:
- Bachelor´s degree in Healthcare Administration, Finance, or other related field
- 8-10years experience in general management, consulting, or project management in the following subject areas (healthcare revenue cycle, SOX implementation, finance, audit, or healthcare systems).
- Revenue cycle management and any applicable regulatory requirements
- Financial controls and audit - Sarbanes-Oxley requirements and approaches for implementation - Qualified candidates must have the following skills: Excellent oral and written communication skills Ability to work with a cross function of people and influence multiple stake holders internally and externally Project planning & organization skills Problem solving skills Ability to work independently with minimal supervision The position is based in Oakland, CA. Must be able to work in Oakland, CA offices

Preferred Qualifications:
- Master´s degree in Business Administration, Public Health, Health Administration, or other related field.
- 3-5 years in a health plan, managed care, medical group, or hospital organization.
- Certified Public Accountant, Certified Internal Auditor, Certified Management Accountant, Certified Information systems Auditor, or other related certification.
- Proficient in collaboration, conflict resolution, group interaction and dynamics, project management, and facilitation of large scale organizational transformation.
- Strong interpersonal skills, especially specific to persuasion and negotiation.
- Strong presentation skills, with experience presenting to senior level executives and leadership groups.
- Demonstrated ability in influence senior-level executives and operational management.
- Understanding of revenue cycle processes, requirements, and best practices, including Enrollment, Scheduling, Pre-registration, Registration,
- Admitting, Financial Counseling, Charge Master, Coding, Charge Capture, Billing, Collections, Bad Debt, Payment Processing, Denial Management, Revenue
- Recognition and Accounts Receivable Finance Operations.

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