Banner Health Regulatory Incentive Program Director Supervisor in Phoenix, Arizona

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Good health care is key to a good life. At Banner Health, we understand that, and that’s why we work hard every day to make a difference in people’s lives. We’ve united under a common goal: Make health care easier, so life can be better. It’s a lofty goal, but it’s one we’re committed to seeing through. Do you like the idea of making a positive change in people’s lives – and your own? If so, this could be the perfect opportunity for you. Apply now.

This is a small centralized team that oversees regulatory programs that are CMS based for inpatient ambulatory and urgent care.

The Regulatory Incentive Program Director is responsible for successful execution of both hospital and provider regulatory programs particularly as it relates to MIPS (Merit Based Incentive Program) and the Promoting interoperability program. The will have the unique opportunity to work not only within our department but influence outside of our department as well.

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

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About Banner Health Corporate

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

About Banner Health

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position implements applicable government incentive programs impacting Banner Health (BH) eligible hospitals (EH). Provides oversight to the incentive programs impacting eligible providers (EP). Establishes system-wide processes that set requirements and monitor performance on the incentive metrics, as well as collaborates with reimbursement services for submission to the appropriate governmental agencies. Leads and facilitates ongoing education of Meaningful Use (MU) program to all impacted employees, providers, and leadership.

Essential Functions

  • Partners with reimbursement services and managed care to continually monitor and analyze financial reimbursement trends and healthcare changes within the national market place. Analyzes the national market place as they relate to provider incentive programs. Evaluates the impact to Banner Health and works collaboratively with key stakeholders to determine the appropriate approach related to Meaningful Use (MU).

  • Collaborates with key stakeholders to establish workflows and processes for strong reimbursement or decreased penalties with operational, clinical and financial leadership. Ensures clear accountability for success, optimizing maximum incentives and minimizes penalties.

  • Partners with educational and communication stakeholders across the system to communicate initial decision, workflows, and processes along with initial and ongoing education for employees, providers and leadership.

  • Oversees the BH EH performance on metrics tied to incentive programs. Creates and implements appropriate action plans to meet targets, as needed.

  • Assists reimbursement services with the submission of results to the appropriate governmental agencies. This includes coordinating and overseeing the distribution of the funds/disincentives with operational and financial leadership.

Minimum Qualifications

Must possess knowledge of business and healthcare as normally obtained through the completion of a bachelors degree in business, healthcare or related field.

Must demonstrate proven experience, typically through five to seven years of progressively responsible experience, analyzing large-scale, complex programs that have significant impact on an organizations financial and/or operating performance. This includes demonstrating a high level of analytical and strategic thinking to analyze programs and related processes. Must demonstrate excellent communication skills to lead collaborative efforts with multiple stakeholders in a large-scale organization. Must possess the ability to effectively communicate and present research findings and recommendations to management. Must have a working knowledge of personal software packages to prepare correspondence and presentations, as well as, create and generate spreadsheets and reports, as described above. Must be results oriented and able to organize and independently manage complex and ambiguous projects.

Extensive knowledge of EHR functionality related to the project scope. Ability to understand and interpret regulatory language.

Preferred Qualifications

Additional related education and/or experience preferred.

Additional related education and/or experience preferred.

Job Number 232453

Facility BH Corporate Office

Department Regulatory Incentive Programs

Address : Location US-AZ-Phoenix

Work Schedule Day

Position Type FT: Full-Time

Posting Category Leadership - Non-Clinical