Vice President Of Administrative Operations

Full job description

Please note: This position is not available for remote work. You must be willing and able to work on location at our Buffalo Drive headquarters in Las Vegas, Nevada.

Job Overview
We are seeking a highly experienced and dynamic individual to join our team as the Vice President of Administrative Operations.

The Vice President of Administrative Operations plays a pivotal role in ensuring the efficient and effective functioning of the administrative aspects within our behavioral health company. This executive leader will be responsible for overseeing various critical functions, including claims management, billing processes, credentialing, health information systems, and census data. The successful candidate will contribute to the strategic vision of the organization and collaborate with cross-functional teams to optimize operational processes.

About Us

Welcome to Nevada Behavioral Health Systems (NBH/NovumHealth)!

Since 2015, Nevada Behavioral Health Systems has managed the mental health and substance abuse services for residents of Nevada. We have created a network of providers who focus on the core principles of recovery: strengths-based, person-centered, individualized treatment and support for people with mental illness and substance use disorders.

Key Responsibilities

Claims Payment Process:

· Ensure submitted claims are accurately processed and paid per contractual obligations.

· Ensure health claims are processed in accordance with policies and procedures.

· Review and verify the accuracy and completeness of health claims.

· Ensure supporting documentation has been validated.

Billing Processes:

· Lead the billing department in accurately and efficiently invoicing for services rendered.

· Oversee implementation on new administration systems (EHR, TPA, Credentialing)

· Monitor billing trends and implement improvements to enhance revenue cycle management.

· Stay abreast of industry changes in billing regulations and ensure compliance.

· Oversee the end-to-end claims processing lifecycle, ensuring accuracy, compliance, and timely submission.

· Develop and implement strategies to minimize claims denials and optimize reimbursement processes.

· Collaborate with internal teams to address any issues related to claims adjudication and resolution.

Credentialing:

· Oversee the credentialing process, ensuring compliance with industry standards and regulations.

· Establish and maintain relationships with credentialing bodies and relevant authorities.

· Oversee the timely re-credentialing of staff and maintain a comprehensive database of credentials.

Health Information Systems:

· Ensuring data integrity and security.

· Collaborate with IT and data management teams to optimize system performance and usability.

· Stay informed about emerging technologies in health information systems and recommend upgrades or enhancements.

Census Data Management:

· Direct the collection, analysis, and reporting of census data to support strategic decision-making.

· Work closely with clinical teams to ensure accurate and up-to-date patient information.

· Identify and implement improvements to optimize census data processes.

Strategic Leadership:

· Contribute to the development and execution of the company's strategic objectives.

· Collaborate with executive leadership to align Administrative Operations with overall business goals.

· Provide regular reports and updates to the executive team on key performance indicators within the scope of Administrative Operations.

Necessary Skills

· Exceptional at RCM and have complete understanding of the complete revenue cycle with proven RCM experience.

· VERY Detail oriented with workflows, able to see the small details and able to integrate into the larger picture.

· Exceptional computer skills.

· Strong leadership skills to inspire and guide teams toward achieving organizational goals.

· Ability to make sound decisions and provide clear direction in a fast-paced healthcare environment.

· Strategic mindset with the ability to develop and implement plans to optimize Administrative Operations.

· Capacity to align administrative goals with the overall mission and objectives of the company.

· In-depth knowledge of healthcare administration, particularly within the behavioral health sector.

· Familiarity with industry regulations, compliance requirements, and accreditation standards.

· Financial acumen to oversee billing processes, monitor financial performance, and identify cost-efficiency opportunities.

· Experience working closely with finance and accounting teams to ensure accuracy in financial reporting.

· Expertise in overseeing credentialing processes for staff, ensuring compliance with industry standards.

· Stay updated on changes in regulations and standards related to behavioral health Administrative Operations.

· Proficiency in managing health information systems to enhance data accuracy, security, and accessibility.

· Collaborative approach to working with IT professionals to implement technology solutions.

· Experience in overseeing claims processing and billing systems in a healthcare setting.

· Knowledge of coding, reimbursement, and billing procedures specific to behavioral health services.

· Strong analytical skills to collect, analyze, and report on census data for informed decision-making.

· Ability to implement strategies to optimize census data accuracy and completeness.

· Excellent communication and interpersonal skills to collaborate effectively with internal teams, executives, and external stakeholders.

· Clear and concise verbal and written communication abilities.

Qualifications

Experience:

Minimum 5 years of experience in administrative management and RCM in a healthcare setting with at least three years in a leadership or management capacity.

Proven track record of successfully managing administrative functions and driving process improvements.

Education:

Bachelor's degree (Master's preferred) in business administration, healthcare administration, or a related field. (An equivalent combination of education and experience may be considered.)

Job Type: Full-time

Pay: From $115,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Weekends as needed

Education:

• Bachelor's (Preferred)

Experience:

• management: 3 years (Required)
• healthcare RCM: 5 years (Required)