Job Summary

Oversees the ongoing review of new prices, price adjustment requests and maintenance of all existing charge-related prices for BHSH. Supports the formulation of pricing strategies and ensure adherence to established pricing methodology that complies with regulatory or legal requirements and considerations. Supports clinical departments through pricing strategy determinations. Also collaborates closely with other financial and administrative areas impacted by pricing, including reimbursement, cost reporting, cost accounting, IS, budgeting, managed care contracting, and other areas as appropriate.

Essential Functions

• Assumes day-to-day accountability for the delivery of quality monitoring and change approvals made to Spectrum BHSH 's pricing through consistent application of policies, procedures, protocols and standards of care, and through support for an educational plan to meet the needs of staff and assure competence. Identifies policies / procedures needed for site / service and participates in writing, reviewing and revising site / service policies / procedures.
• Ensures that prices are set appropriately to maintain compliance with the BHSH consent decree.
• Supports development of strategy for annual pricing changes across BHSH divisions to include net impact modeling of proposed price changes and associated research and due diligence.
• Will be responsible for reviewing special pricing requests to ensure that anything that deviates from standard charging is set-up in a manner that is compliant with BHSH guidelines and policies.
• Participates as an active member on hospital / health system / community committees related to pricing.
• Manages the activities of any pricing staff. Provides direction and support to subordinate staff to ensure effectiveness and efficiency. Selects, trains, develops, and evaluates subordinates and initiates personnel actions in accordance with departmental policies and organization philosophy.

Qualifications

• Bachelor's Degree Accounting, Business, Finance, Healthcare Administration or other related field - Required

• 5 years of relevant experience financial management, information systems, or health information management - Required
• 1 year of relevant experience in management - Required
• Experience with Epic, Cerner or Medipac - Preferred
• Experience with strategic pricing, reimbursement and analytics - Strongly Preferred

• CRT-At least one Certification from preferred list - 180 Days required
• CRT-Healthcare Financial Professional, Certified (CHFP) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Fellow of the Healthcare Financial Management Association (FHFMA) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Revenue Cycle Representative, Certified (CRCR) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Inpatient Coding Auditor, Certified (CICA) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Specialist Accounting & Finance, Certified (CSAF) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Specialist Business Intelligence, Certified (CSBI) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Specialist Managed Care, Certified (CSMC) - HFMA Healthcare Financial Management Association 180 Days preferred Or
• CRT-Specialist Physician Practice Management, Certified (CSPPM) - HFMA Healthcare Financial Management Association 180 Days preferred

Primary Location

SITE - Business Service Center - 4420 44th St - Grand Rapids

Department Name

Administration - Revenue Management

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Spectrum Health is committed to providing a safe environment for our team members, patients, visitors and community. That is why we require a drug-free workplace and various vaccinations as a requirement for employment.

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

If you are a qualified individual with a disability, you may request assistance in completing the application process by calling 616.486.7447. We are committed to granting reasonable accommodations in accordance with applicable laws.