http://kpcareers.org/portland/administration,-clerical,-and-support-services-jobs en Req Id: 184609

Comprehensive support of the NW Regional President in accomplishing business outcomes for the NW Region, includes support of regional and national program goals. Provides complex coordination, and extends the capacity of the Northwest Kaiser Foundation Health Plan/Hospitals President in fulfilling strategic priorities, achieving KPNW performance targets, and promoting systems that enhance Vice President individual performance and leadership development. This position is also responsible for promoting KFHP/Hospitals of the Northwest in partnership with the NW Permanente Medical Group, Labor and PDA Dental Services through appropriate avenues.

Essential Functions:
- To act on behalf of the Regional President in accomplishing complex administrative tasks which may involve making decisions and commitments within scope of authority
- Independently provide assistance as needed to KPNW and program-wide executives
- Maintain active knowledge of the duties of the regional vice presidents and executives on how their business, strategic priorities, and functional areas connect to regional strategic and operational plans
- Proactively identify and address issues/barriers to promote realization of local and national strategic goals
- Assist the Regional President in tracking outcomes/deliverables to support local performance and alignment with national program strategic priorities
- Perform all duties as assigned/delegated to KPNW health Plan Regional Administration both locally and nationally
- Represent and assist the Regional President in resolving difficult issues while maintaining confidentiality
- Act as a liaison/agent for the Regional President on various regional and national groups, councils and committees
- Coordinate & support executive meetings, local and national forums
- Manage a variety of administrative staff in support of coordinated activities that anticipate the needs of the Regional President, and support the region
- Directly supervise the department and day-to-day administrative activities of staff
- Develop and communicate accountabilities to staff
- Provide coaching, counseling, leadership and management for staff
- Contribute an array of knowledge and expertise to the Regional President to support the delivery on special projects as assigned
- Provide a broad range of technical support to the Regional President and the Vice Presidents (examples: producing and organizing materials, data tracking and reporting, analysis of data)
- Coordinate the interpretation of information, policy, goals and strategic objectives and provide clarity on issues & policies, recommend and coordinate action plans, and participate in and coordinate resolutions
- Other responsibilities as assigned


Qualifications:

Basic Qualifications:
- Minimum 5 years of executive level administrative support experience
- Minimum 2 years experience in project coordination or management
- Minimum 2 years supervisory/leadership experience
- Bachelor's Degree or equivalent experience working in a health care or business administration environment
- Demonstrated ability to lead/supervise others
- Strong analytical and problem-solving skills
- Exceptional written and oral communication skills
- Advanced skill in the use of Microsoft Office applications
- Proven project coordination, facilitation and team building skills
- Proven ability to synthesize complex and diverse information to formulate a recommendation or course of action
- Must possess the ability to perform duties with the highest level of tact and confidentiality

Preferred Qualifications:
- Project management experience
- Experience leading/supervising others
- Experience in managing a departmental budget within allocation
- Comprehensive knowledge of process improvement methodology (such as LEAN or RIM)
- Demonstrated ability to evaluate program outcomes
]]> Thu, 16 May 2013 16:00:00 GMT 3683020-Portland-Administration,-Clerical,-and-Support-Services Req Id: 180110

The OH Business & Strategy Manager is responsible for planning, coordinating, integrating and supporting the business activities of the Occupational Health department including claims, billing, collections and clinical support functions. Business activities include workload recording and productivity measurement; financial assessment; implementing fiscal strategies; driving performance improvement; and activities that support the Occupational Health department's vision and KPNW objectives, goals and strategies. This position also serves as liaison and maintains strong relationship with regional financial, analytical, benefits, and marketing departments, peers in other Kaiser regions, and Health Plan Administration.

Essential Functions:
- Functions as the senior financial & business strategy advisor to the Occupational Health department:
- Assess & monitor business activities for OH clinics, service center, claims, billing & collections functions.
- Plan & develop marketing strategies consistent w/ business plans in collaboration w/ OH leadership & regional marketing sales & business development (MSBD) team.
- Develops strategic pricing policies consistent w/ regional revenue targets & w/in the constraints of the external marketplace.
- Continually assesses external market & analyze changes to state & federal WC fee schedules to inform KP pricing policies.
- Participates in & supports contract discussions & negotiations including MCO agreements.
- Partner w/ OH leadership to create & implement strategic business plans (short & longer term) to ensure ongoing viability of business in support of regional goals & objectives including long range service delivery planning,
- Collaborates w/ OH sales & marketing support team to promote development of new business services including operationalizing charge capture & billing processes.
- NPV preparation, business case development & complex financial modeling to drive sound business decision making.
- Maintains a continuing process to identify, evaluate & implement strategies that maximize profitability, including revenue enhancement & process optimization:
- Develop & maintain the means to assess & report profitability measures for the OH department.
- Administer metric reporting systems including revenue drivers, utilization, service measures, cost accounting & financial reporting to ensure continued fiscal soundness of the OH department.
- Assess financial feasibility of new programs & products.
- Monitor, provide in-depth analysis & forecast OH revenues.
- Coordinate internal automated systems support of all management reporting.
- Review & interpret financial results, working w/ the OH Leadership team to inform decision making.
- Design & administer programs & controls consistent w/ sound business accounting & auditing principles & ensure effective management of OH assets:
- Manage the department revenue collection, billing & other business processes in a manner that protects assets & ensures compliance to policies & regulations.
- Manage financial auditing & monitoring functions.
- Plan & implement changes in business activities resulting from government mandates, legislation & accrediting agencies.
- Responsible for financial & accounting transactions & reporting to Revenue Cycle, General Accounting & Regional Finance departments..
- Coordinates budget & forecast development through multiple departments.
- Acts as the capital committee representative for all projects & capital equipment requests
- Builds long range equipment & project plans to support the OH business per the long range service delivery plan & strategy.
- This job description is not encompassing.

Qualifications:

Basic Qualifications:
- Five (5) years of experience in fiscal management within a managed health care setting or comparable experience with a business firm routinely doing business in the health care field.
- Bachelor's degree in accounting, finance, business or related field.
- MBA, CPA, or equivalent combination of knowledge and experience.
- Thorough knowledge of business management, accounting principles and fiscal management including auditing skills
- Advanced knowledge of analytic techniques pertinent to planning and finance. This includes forecasting sensitivity analysis, financial analysis such as NPV, decision analysis and operations research.
- Demonstrated teaching ability to train or mentor or supervise.
- Demonstrated knowledge of computer applications and systems.
- Demonstrated knowledge of marketing and planning principles and techniques.
- Demonstrated knowledge of optical retailing/marketing.
- Working knowledge of general management principles.
- Demonstrated working knowledge of project management skills.
- Demonstrated customer-focused service skills.
- Demonstrated interpersonal and communication skills; ability to make presentations to various groups in formal, informal and impromptu situations.
- Demonstrated time management skills.
- Demonstrated ability to be a leader and strategically plan and prioritize project resources within limited resources and time allocations.
- Demonstrated ability to use good judgment and decision making while coping in a stressful, busy environment.
- Ability to perform simple to difficult analyses to help clients address strategic issues and achieve performance targets.
- Ability to perform and make decisions independently.

Preferred Qualifications:
- Six (6) or more years of experience in fiscal management within a managed health care setting preferred.
- Three (3) years of experience with Kaiser Permanente preferred.
- Three (3) years of experience with an accounting or business firm doing business in the health care arena preferred.
- MBA, MHA, CPA or other advanced business degree preferred.
- Excellent communicator preferred.
- Ability to work with all levels of Organizational leadership preferred.
- Thorough knowledge of organized Health Care systems preferred.
- Working knowledge of optical operations and organizational policies and procedures preferred.
- Basic knowledge of optical point-of-sale and manufacturing systems preferred.
- Working knowledge of computer systems/software packages preferred.
- Behavioral interviewing preferred.
- Ability to organize and manage projects preferred.
- Proven ability to successfully manage people preferred.
- Demonstrated strengths in decision making in a consensus environment and partnership management preferred.
- Ability to work with minimal supervision preferred.
- Aptitude for strategic thinking preferred.
- Capacity for flexibility preferred.

Salary Range:
$73,540 - $100,660

]]> Tue, 23 Apr 2013 16:00:00 GMT 3541007-Portland-Administration,-Clerical,-and-Support-Services Req Id: 169657

To oversee all billing operations for consistency, propriety, and compliance with external regulations and internal policies and procedures. Oversee applying payments and adjustments from various payers, including government and commercial. Oversee reconciling payments received by KPNW facilities and bank lockboxes. Oversee manual charge entry.

Essential Functions:
- Supervise Billing, Payment Posting and Charge entry Supervisors, coordinate training and establish, approve and maintain the Policy and Procedures for the department.
- Ensures staff organization to promote efficiency, accountability and appropriate segregation of duties.
- Establish and maintain quality and production standards for the department.
- Write and implement Patient Financial Services (PFS) policies to support compliant billing, accurate accounting, timely payment posting and charge entry to ensure appropriate reimbursement.
- Develop tools to provide appropriate information to General Accounting and revenue-producing departments, including feedback to service providers.
- Monitor and maintain the billing dashboard established baselines.
- Leads continuous improvement in billing compliance, identifies and investigates system vulnerabilities which may impact compliance with billing rules, payment posting and charge entry rules ensures appropriate corrective action.
- Strives to eliminate variation in the process outcome.
- Represents PFS at cross-departmental meetings regarding compliance, billing, payment posting, charge entry.
- Works closely with various business partners to ensure collaborative, productive working relationships between departments.

Qualifications:

Basic Qualifications:
- Five (5) years of supervisor experience.
- Five (5) years of medical/provider or hospital billing office experience.
- Experience identifying and resolving compliance issues.
- Experience identifying and resolving billing issues.
- Experience identifying and resolving payment posting issues.
- Experience identifying and resolving charge entry issues.
- Bachelor's degree in accounting, economics, health care administration, or other related field of study or equivalent.
- Member HFMA or HCCA preferred.
- Ability to read, research, analyze, and reach accurate conclusions from complex regulations, technical specifications, accounting reports, and statistics.
- Detailed knowledge of billing processes, payment posting processes and charge entry processes.
- Close familiarity with regulations applicable to health care claims submitted to Medicare, Medicaid, and all other payers including internal KP claims processing.
- Knowledge of government agencies which formulate billing rules, interplay between state and federal regulations in regard to health care billing.
- ICD-9 (10), CPT-4 coding rules and processes pertinent to billing for services.
- Proficient in Microsoft office (Excel, Word, etc.).

Preferred Qualifications:
- Experience in EPIC health care information systems, particularly billing, payment posting and charge entry preferred.
- Certified Professional Coder, RHIT, CPAM, or other professional association accreditation pertinent to job duties is preferred.
- Knowledge of the regulatory compliance principles in health care billing, payment posting and charge entry preferred.
- Knowledge of medical office, hospital, and/or hospice operations preferred.
- Excellent verbal and written communication skills preferred.
- Excellent time management, personnel management, and organizational skills preferred.
- Compliance auditing background in professional or hospital billing environment preferred.

Salary Range:
$73,540 - $100,660]]> Mon, 04 Feb 2013 14:00:00 GMT 3227868-Portland-Administration,-Clerical,-and-Support-Services