Responsibilities
The Director reports to the Revenue Cycle Senior Director over Prior Authorization and may have Revenue Cycle Managers and other Revenue Cycle staff as direct reports in a multi-site, multi-specialty academic medical center. The Director of Clinical Prior Authorization will have accountability for securing prior authorizations for surgical and unplanned admissions across the Mayo Clinic enterprise. The ideal candidate will have strong experience in prior authorization and clinical knowledge. Assures the integrity and stability of revenue and billing data and provides direction for complex business decision making for operations. Provides direction for complex business decision making for operations. Identifies, establishes and implements internal controls to ensure a compliant environment. Provides leadership in a team environment, teams functional and technical activities and changes.. Participates in establishing the strategic direction of work teams or service lines incorporating an awareness of the internal and external environment. Provides direction and interprets revenue cycle key performance indicators with significant institutional impact Is recognized and relied upon to synthesize various subject matter expert inputs to formulate solutions and implement change for multi-disciplinary or complex technical issues. Coordinates the development of programs and processes for Revenue Cycle operational areas. Interprets and implements billing rules, regulatory compliance, policies and regulations. Stays abreast of emerging issues and risks and plans accordingly. Identify strategies that lead to improved financial performance and follow through on their implementation while preserving Mayo standards and minimizing the financial and legal risks to Mayo. Directs managers, reviews and interprets results of variable-sensitive business models and/or compliance or business operations. Participates in establishing an environment that leads to efficient Revenue Cycle operations and adheres to complicated and ambiguous billing rules and regulations (all payers). Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results. Spearheads change and leads others in implementation. Promotes effective change management practices. Initiates, leads and facilitates institutional workgroups or complex projects. Manages and prioritizes limited resources across multi-disciplinary, multi-site teams to maximize efficiency. Handles ambiguous situations in a productive and professional manner and leads others through such situations successfully.
Qualifications
Bachelor’s degree with 10 years’ experience which includes at least 7 years in general leadership required.
Additional Qualifications:
Master’s degree preferred.
A clinical background (Rn, Therapist, etc.) is preferred.
Broad expertise in healthcare management, healthcare operations, change management and systems preferred. Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities. Has solid knowledge of Microsoft applications including Word, Excel, PowerPoint and Outlook. Possess ability to apply broad knowledge to new circumstances to add value and perspective. Exhibits a customer-service orientation; anticipates, understands and addresses customer needs in a timely manner. Working knowledge of large revenue cycle systems preferred and medical record systems. Ability to establish a productive team-based work environment and collaborate effectively across multiple sites and functions. Demonstrated communication and presentation skills. Ability to lead or direct multiple complex projects and activities in an ambiguous environment. Participates in establishing an environment that promotes initiative, creativity and a high level of productivity.
Exemption Status
Exempt
Compensation Detail
$152,360 – $220,916 / year
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
100% Remote can be seated at any site. Monday – Friday: Days
Weekend Schedule
N/A
International Assignment
No
Recruiter
Ronnie Bartz
Department Title
Mayo Clinic Finance