Vice President DRG

About the Role

The role entails working closely with senior management to set departmental goals, financial targets, and key performance indicators that align with company objectives. You will also collaborate with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships. As a leader, you will be responsible for developing and supporting leadership within the department, driving operational performance, and ensuring continuous improvement across Revenue Recovery.

EnableComp is a leading provider of Specialty Revenue Cycle Management solutions, with over 24 years of industry-leading expertise and a unified E360 RCM platform. The company's proprietary algorithms, iterative intelligence, and expert human-in-the-loop integration enable it to provide solutions across the revenue lifecycle for various claims and denials. As a Vice President of DRG, you will be part of a team that is dedicated to improving financial sustainability for hospitals, health systems, and ambulatory surgery centers.

What You Will Do

• Act as a subject matter expert in EnableComp Revenue Integrity related products, including DRG & DRGV, and Medical Necessity Denials & ED Downgrades
• Define and establish departmental goals, financial targets, and key performance indicators that align with company objectives
• Assist in setting the strategic direction of the Revenue Recovery and identify areas of continuous improvement
• Oversee the development of quality and productivity metrics and benchmarks for Revenue Recovery functions
• Ensure the processes and inventory are in place to hit monthly, quarterly, and annual revenue expectations
• Hire, train, and oversee staff, including annual goal planning, performance reviews, and workload distribution
• Coordinate resources throughout the organization to address action plans for assigned clients and projects
• Collaborate cross-functionally with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships
• Measure and monitor key performance metrics and deliver concise performance reporting to stakeholders
• Take the lead in explaining variances to management on a regular basis regarding DRG reviews

What We Are Looking For

• 8+ years of experience in revenue cycle management or a related field
• Strong leadership and communication skills, with the ability to motivate and direct staff
• Expertise in Excel and revenue recovery, with a deep understanding of revenue integrity and clinical coding
• Strong analytical and problem-solving skills, with the ability to navigate complex regulatory compliance issues
• Experience in setting departmental goals, financial targets, and key performance indicators
• Ability to collaborate cross-functionally with other senior leaders and guide corporate planning
• Strong understanding of industry standards and internal benchmarks for revenue recovery functions
• Experience in hiring, training, and overseeing staff, with a focus on developing leadership within the department

Nice to Have

• Experience with E360 RCM platform or similar revenue cycle management systems
• Certification in revenue cycle management or a related field
• Experience in working with cross-functional teams to deliver best-in-class results to clients
• Strong understanding of proprietary algorithms and iterative intelligence in revenue cycle management

Benefits and Perks

• Competitive salary and benefits package
• Opportunity to work with a leading provider of Specialty Revenue Cycle Management solutions
• Collaborative and dynamic work environment with a focus on innovation and excellence
• Professional development opportunities, including training and certification programs
• Flexible work arrangements, including remote work options
• Access to cutting-edge technology and tools, including E360 RCM platform
• Recognition and reward programs for outstanding performance and contributions

• Develop a strong understanding of revenue cycle management and revenue integrity to stand out as a candidate
• Highlight your expertise in Excel and revenue recovery, and be prepared to provide examples of how you have driven business growth in previous roles
• Emphasize your leadership and communication skills, and be prepared to discuss how you have motivated and directed staff in previous roles
• Research EnableComp's E360 RCM platform and be prepared to discuss how you can leverage your skills and experience to drive best-in-class results for clients
• Be prepared to discuss your experience in navigating complex regulatory compliance issues and how you have ensured clinical coding integrity in previous roles
• Consider obtaining certification in revenue cycle management or a related field to demonstrate your expertise and commitment to the field
• Be prepared to provide examples of how you have collaborated cross-functionally with other senior leaders to guide corporate planning and drive business growth