Revenue Integrity Program Manager

Western Door Federal is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation . SNG meets mission-critical needs of federal civilian, defense, and intelligence community customers across a variety of domains. The SNG portfolio receives shared services support from its parent company Seneca Holdings and is comprised of multiple companies that participate in the Small Business Administration 8(a) program. To learn more visit www.senecanationgroup.com and follow us on LinkedIn .
The Seneca Nation Group companies offer competitive compensation and a strong benefits package including comprehensive medical and dental care, matching 401K, paid time off, flexible spending accounts, disability coverage, and other benefits that help provide financial protection for you and your family. We pride ourselves on our collaborative work environment and culture which embraces our mission of providing financial and non-financial benefits back to the members of the Seneca Nation.
Western Door Federal is seeking a Revenue Integrity Program Manager in Falls Church, VA (this position is considered hybrid). The objective of this work is to establish, maintains and manages relationships with senior level management within the Defense Health Agency regarding Revenue Integrity efforts. Additionally, this position oversees multiple contract operations, ensure quality standards and work performance on all projects, organizes and oversees work efforts and assigned resources identified within contract operations.
Responsibilities include, but are not limited to :

• Provide oversight and executive level management to overall contract operations often involving multiple projects/tasks and groups of personnel at multiple locations.
• Support the DHA-project with extensive SME (Subject Matter Expert) knowledge in MHS GENESIS Revenue Integrity (RI), including all Charge Services.
• Lead team to support an assessment of the current state and provide a foundation for developing a roadmap and plan for the development of the RI functionality in DHA.
• Lead team to support a roadmap to pilot and then roll out a scalable enterprise Revenue Integrity program.
• Lead team to design and implement a portfolio of Revenue Cycle decision-support tools focused on the most important Key Performance Indicators for fiscal health
• Support and leverage business process re-engineering efforts to achieve standardization within all Revenue Cycle areas.
• Apply principles and practices in Revenue Cycle management and Revenue Integrity, such as charge capture, coding, billing, reimbursement, denial management, and compliance.
• Ensures quality management, and monitor overall project and contract performance, including all relevant projects and their potential impact on higher level organizational strategic vision.
• Provide quality guidance or recommendations to colleagues, clients, or senior leadership as deemed necessary; this may include subject matter and unique technical knowledge.

Basic Qualifications:

• Ability to obtain and maintain a Public Trust Clearance
• Requires a Bachelor's degree in a clinical or healthcare-related field
• Due to the nature of the government contract requirements and/or clearance requirements, US citizenship is required.
• Expert knowledge and a working understanding of revenue cycle concepts, business processes, and/or operations within the healthcare industry (commercial or federal).
• Has demonstrated supervisory and managerial experience on complex assignments and can appropriately delegate all resources and responsibilities.
• Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in revenue cycle and Revenue Integrity.
• Ability to lead a dynamic team environment and produce deliverables in tight timeframes.
• Microsoft Office 365 proficiency (Excel, Word, PowerPoint).
• Excellent oral, written, and interpersonal skills.

Desired Skills:

• Substantial experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle operations.
• Knowledge of MHS billing and coding policies and regulations.
• Experience with the Oracle/Cerner Electronic Health Record (EHR) (MHS GENESIS), Patient Accounting Module (CPAM) and reports: HealtheAnalytics, Discern Reporting Portal, and Lights On Network, ideally in the MHS environment.
• PMP or similar training / certification

Diversity, Equity & Inclusion Statement:
The Seneca Holdings family of companies is committed to building an inclusive work environment that encourages, supports, and celebrates the diversity of our employees. We recognize that an inclusive corporate culture improves how we support our customers and also improves the collective impact we can make in our communities.
Equal Opportunity Statement:
Seneca Holdings provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex/gender, sexual orientation, national origin, age, disability, marital status, genetic information and/or predisposing genetic characteristics, victim of domestic violence status, veteran status, or other protected class status. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training. The Company also prohibits retaliation against any employee who exercises his or her rights under applicable anti-discrimination laws. Notwithstanding the foregoing, the Company does give hiring preference to Seneca or Native individuals. Veterans with expertise in these areas are highly encouraged to apply.