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UCSF Health

Assistant Director, Systems and Operations

UCSF Health, Emeryville, California, United States, 94608

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Assistant Director, Systems and Operations

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UCSF Health Job Summary

This position is also responsible for the identification, analysis, recommendation, implementation, and communication of resolutions on Systems issues, as well as enhancements and modifications related to various systems used to manage pro‑fee billing for UCSF and MGBS. This includes the Epic Resolute systems as well as other supporting systems (i.e. Optum Claims Manager, Cirius Pre‑Bill, etc.). This position has broad responsibilities regarding input and knowledge of UCSF Health. Responsibilities

The Assistant Director of Operations coordinates and monitors staffing levels, personnel issues, quality, and productivity as it relates to the following units: Payment Posting, Charge Entry, Imaging, Correspondence, Credit Balance, Retro‑adjudication, Claims Edits and Systems, including charge correction requests, Outsourced A/R, and limited PB Charge Review and PB Follow‑up. Specific duties will involve unit stabilization, implementing and optimizing new workflows and protocols. This position will collaborate with the APeX Clinical team regarding Epic maintenance, tickets & development projects that impact Pro Fee Billing, as well as new clinical revenue into the SOM and the UCSF Medical Center from the purchase of medical clinics throughout California. The incumbent will coordinate extensively with Senior MGBS management, Client Service Managers, Clinic Departments and Clinical Systems/IT on resolving system and/or unit issues as they arise. Salary range: $157,800 - $236,700 (target entry point $166,410). For more on benefits, visit https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html. Required Qualifications

Bachelor’s degree in a related field or equivalent experience of at least four years in overseeing operations and efficiency optimizations in a large multi‑department physician‑based environment. Ten or more years of work‑related operations experience, including leadership in a medical center pro‑fee billing environment with demonstrated results against benchmarks. Five or more years’ experience coordinating system‑related projects, including specification development, testing, and user training. Five or more years’ experience in Epic systems build and functionality as it relates to PB Resolute. Demonstrated leadership skills: ability to build high‑performing teams, achieve performance targets, collaborate with revenue cycle teams to reach MGBS, Medical Center and system performance goals. Personnel management capability: supervise 25+ employees and managerial oversight. Computer software skills: Microsoft Office (Excel, Word, Outlook, PowerPoint, Access). Experience in electronic claim and remittance processing (837, 835, clearinghouses, etc.). Excellent analytical, organizational, problem‑solving, interpersonal, verbal, and written communication skills. Self‑starting, results‑driven mindset. Knowledge of medical terminology, billing procedures (CPT4, ICD9, HCPCS), and standard insurance claim adjudication practices. Experienced knowledge of EPIC PB billing systems. Ability to work in Emeryville three days a week and as needed based on business needs. Preferred Qualifications

Master’s degree in business or healthcare. Ten years of experience managing accounts receivable for pro‑fee billing. Experience with Crystal Reports. License/Certification

EPIC PB Certification required. About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health offers a rewarding work experience delivering the best care worldwide. We value professionalism, respect, integrity, diversity and excellence, and are committed to equity and inclusion. Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

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