St. Johns Riverside Hospital
Assistant Director Data Analytics Revenue Cycle
St. Johns Riverside Hospital, Yonkers, New York, United States, 10701
St. John's Riverside Hospital
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations. St. John's has been an integral part of the community since the 1890's and its commitment to provide the community with the most advanced medical services available continues to be the hospitals' vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John's dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care. St. John's Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care. St. John's Riverside Hospital is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law. Personalized care together with advanced technology is what it means to be Community Strong Responsibilities
The Assistant Director is focused on optimizing financial performance. Develop and implement strategies to improve the revenue cycle processes, analyze data to identify trends and areas for improvement. Manage a team of professionals. Ensure accuracy, compliance, and efficiency within the revenue cycle. Accounts Receivable (A/R) Aging and Resolution Analysis Cash Collections and Reimbursement Trend Reporting Claim Lag and Lifecycle Metrics Denial and Payer Trend Analytics Payer Contract Performance and Underpayment Identification Lead, Mentor, and Develop Data Analysts and Revenue Cycle Claims File Generation and Submission (837/835), Claim Rejection Workflows Maintenance of Payer and Clearinghouse Portal Access Manage and Support the Responsibilities of the Analyst Overseeing Contract Analytics, Payer Relationships, and Credentialing Activities Oversee Development and Analysis of Reimbursement Models and Facilitate Contract Negotiations Using Actionable Data Audit Data Quality to Ensure Clean Claims and Reduce Rejections Collaborate Closely with Revenue Cycle Leadership to Identify Actionable Insights and Improve Kpis Across Billing, Coding, Collections, and Cash Posting Partner with the Finance Team to Provide Supporting Data for Audits, Budgeting, Variance Analysis, and Financial Reporting Identify Opportunities for Automation and Optimization of Claim and Billing Workflows Lead and Manage, Including Project Prioritization, and Skills Development Qualifications
Bachelor's Degree in Information Technology or Science, Finance, or Data Analytics 7+ Years of Experience in Healthcare Analytics, with at Least 3 Years in Revenue Cycle-Focused Roles Strong Understanding of Healthcare Billing Systems, Claim Workflows, and Denial Management Expert-Level Proficiency in: SQL Server (Writing Stored Procedures, Joins, CTEs, etc.) Power BI (Dashboarding, DAX, Data Modeling) Advanced Excel (Pivot Tables, Lookup Functions and Power Queries) Proven Experience Building Analytics Tools That Influence Executive Decision-Making Ability to Balance Technical Depth with Business Strategy Excellent Communication and Leadership Skills Preferred Experience Experience with Emrs such as Meditech or Epic Familiarity with Medicare/Medicaid Billing Requirements Prior Involvement in Automation or Predictive Modeling for Cash Flow or Claim Resolution Billing and Coding Protocols (ICD-10, CPT/HCPCS) Charge Capture and Reconciliation Medical Necessity Rules and Documentation Standards Timely Filing Limits by Payer
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations. St. John's has been an integral part of the community since the 1890's and its commitment to provide the community with the most advanced medical services available continues to be the hospitals' vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John's dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care. St. John's Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care. St. John's Riverside Hospital is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law. Personalized care together with advanced technology is what it means to be Community Strong Responsibilities
The Assistant Director is focused on optimizing financial performance. Develop and implement strategies to improve the revenue cycle processes, analyze data to identify trends and areas for improvement. Manage a team of professionals. Ensure accuracy, compliance, and efficiency within the revenue cycle. Accounts Receivable (A/R) Aging and Resolution Analysis Cash Collections and Reimbursement Trend Reporting Claim Lag and Lifecycle Metrics Denial and Payer Trend Analytics Payer Contract Performance and Underpayment Identification Lead, Mentor, and Develop Data Analysts and Revenue Cycle Claims File Generation and Submission (837/835), Claim Rejection Workflows Maintenance of Payer and Clearinghouse Portal Access Manage and Support the Responsibilities of the Analyst Overseeing Contract Analytics, Payer Relationships, and Credentialing Activities Oversee Development and Analysis of Reimbursement Models and Facilitate Contract Negotiations Using Actionable Data Audit Data Quality to Ensure Clean Claims and Reduce Rejections Collaborate Closely with Revenue Cycle Leadership to Identify Actionable Insights and Improve Kpis Across Billing, Coding, Collections, and Cash Posting Partner with the Finance Team to Provide Supporting Data for Audits, Budgeting, Variance Analysis, and Financial Reporting Identify Opportunities for Automation and Optimization of Claim and Billing Workflows Lead and Manage, Including Project Prioritization, and Skills Development Qualifications
Bachelor's Degree in Information Technology or Science, Finance, or Data Analytics 7+ Years of Experience in Healthcare Analytics, with at Least 3 Years in Revenue Cycle-Focused Roles Strong Understanding of Healthcare Billing Systems, Claim Workflows, and Denial Management Expert-Level Proficiency in: SQL Server (Writing Stored Procedures, Joins, CTEs, etc.) Power BI (Dashboarding, DAX, Data Modeling) Advanced Excel (Pivot Tables, Lookup Functions and Power Queries) Proven Experience Building Analytics Tools That Influence Executive Decision-Making Ability to Balance Technical Depth with Business Strategy Excellent Communication and Leadership Skills Preferred Experience Experience with Emrs such as Meditech or Epic Familiarity with Medicare/Medicaid Billing Requirements Prior Involvement in Automation or Predictive Modeling for Cash Flow or Claim Resolution Billing and Coding Protocols (ICD-10, CPT/HCPCS) Charge Capture and Reconciliation Medical Necessity Rules and Documentation Standards Timely Filing Limits by Payer