Dir, Clinical Research Revenue Cycle & Billing Compliance

Location
Maryland, United States
Salary
Salary Not Specified
Posted
Oct 23, 2020
Employment Type
Full Time

General Summary/Purpose

Serves as Clinical Research Revenue Cycle & Compliance project manager to the five offices that make up the “virtual” Clinical Research Revenue Office (CRRO) ensuring seamless support to principal investigators and clinical research personnel for clinical trials billing and reporting in accordance with federal regulations and internal policies. Three of the five offices report to the Associate Dean for Research Administration and the remaining two offices report to the Director. The Director collaborates with the five offices to bring together operational workflows, strategic planning, policy development, financial management systems, and reporting on clinical research revenue cycle activities. The Director is responsible for the expanded implementation of Clinical Research Revenue Cycle support across Johns Hopkins University School of Medicine and Johns Hopkins Health System.

Provide direct oversight of the Office of Clinical Research Billing Compliance and related research billing compliance operations. Lead CRBC staff supporting daily review, investigation and release activity for research patient billing. Ensure comprehensive and effective implementation and use of the Epic Enterprise Electronic Medical Record and Billing applications across Johns Hopkins Medicine. Develop productivity benchmarks for research billing compliance staff. Implement performance improvement strategies to ensure performance metrics for accountability are consistently met.

Support the Sr Director in the strategic planning and development of a highly functional, effective, and efficient infrastructure for clinical research revenue cycle and billing compliance. Continuously seek to enhance the processes, training and information systems essential to the success of the CRRC and CRBC. Identify areas where financial and operational policies are needed and guides their development, approval and implementation.

Work collaboratively and proactively with clinical departments to ensure there is appropriate structure and support for the clinical research revenue cycle.

Specific Duties & Responsibilities

Management and Operations

  1. Works with the five areas to devise policies and practices that optimize workflows among the groups. Assists the above offices with processes improvement efforts supporting clinical research staff and resolving issues that impede productivity or compliance.
  2. In consultation with the Sr Director, develop the framework for how Clinical Research Billing Compliance will implement its oversight and monitoring functions that safeguard the reputation of and clinical research billing compliance for JHU SOM and JHHS.
  3. Responsible for organizing and managing the daily operations of CRBC including workflow, staffing, data management and reporting. With the Associate Director of CRBC, develop systems and processes to organize daily review, investigation and release of research patient billing.
  4. Oversees the development of internal policies, protocols and processes to assure accurate and consistent performance of all work within CRBC.
  5. Serves as the project manager for development of new processes, workflows and information technology systems to improve clinical research revenue cycle operations. Continually works with group leaders to automate as much of the process as possible.
  6. Provides guidance to clinical departments to ensure they possess proper infrastructure to interact effectively with clinical research revenue cycle operations and financial management.
  7. Responsible for the planning, project management and expansion of the operations to new hospital and practice acquisitions. Works with leaders to determine the most effective site for the performance of Clinical Research Revenue Cycle Processes.
  8. Serves as the key resource with regard to the clinical research revenue cycle resource for senior leadership, clinical administrators, directors of finance, etc.
  9. In conjunction with the leaders in the five groups, creates and recommends policies and procedures for the clinical research revenue cycle to the Senior Director and/or the Executive Steering Committee for approval.
  10. Works closely with the clinical research teams to promote the use of the Clinical Research Management System as the primary tool for managing the participant data for clinical trials.
  11. Develops financial management services for pre-, intra-, and post-clinical trial activity, specifically focused on the clinical services provided as part of a study.
  12. Responsible for development of operational budgets for Clinical Research Support Services, Clinical Research Financial Clearance, Clinical Research Billing Compliance, and the Office of Clinical Research Revenue Cycle.
  13. Leads monthly meetings with clinical department financial representatives.
  14. Leads bi-weekly work group meetings with the directors of the separate offices of that comprise the Clinical Research Revenue Cycle Office.

Training

  1. Creates and delivers training and orientation to introduce the Clinical Research Revenue Cycle to faculty and research program managers and coordinators. Training sessions include one-on-one, monthly “Lunch and Learn” programs and ad hoc requests.
  2. Ensures the content of the Clinical Research Revenue Cycle web-based training is kept up-to-date.
  3. Coordinates the monthly required training for newly hired clinical research staff.
  4. Recommends and develops, with input of the directors of the offices that comprise CRRC, training programs and procedures to ensure clinical research staff is prepared to perform and adhere to the tasks required to ensure accurate clinical research billing.

Reporting

  1. Oversees the collection of data for measuring compliance with the key controls required for accurate clinical research billing.
  2. Develops monitoring reports to assure efficient performance across the multiple operations that comprise CRRC and that productivity targets are met.
  3. Analyzes data and recommends appropriate action to address issues to the Executive Director.
  4. Reconciles data bases to ensure that clinical research participants are identified and appropriate clinical trial billing can occur.
  5. Reports non-compliance with the use of Clinical Research Financial Clearance and the Clinical Research Management System to the Executive Director/Associate Dean and the Vice Dean for Clinical Investigation.


Scope of Responsibility
Knows the formal and informal goals, standards, policies, and procedures including familiarity with and sensitivity to the relationships withother departments within the School of Medicine, the Clinical Practice Association and the Johns Hopkins Health System.

Decision Making
On a regular and continual basis, exercises administrative and technical judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs,and quality of service across the CRRC operations. Routinely handles confidential patient and sensitive financial information.

Authority
Identifies and implements routine process and operational improvements independently, conferring with the Executive Director whenever there is a major change to workflow or processes.

Communications
Exchanges non-routine information with tact and persuasion requiring excellent oral and written communication skills.

Minimum Qualifications

Bachelor’s Degree in business, accounting, finance, systems operations, healthcare administration, nursing or related field required.

Experience

Minimum of seven (7) years of administrative experience in an academic medical center environment required. A working knowledge of clinical research operations and finances and the associated infrastructures: systems, staffing, space, etc., required.

Requires good management skills in order to work in a matrix-based, highly complex environment. Must be self-motivated and comfortable working independently, as a team leader and as a team member. Must demonstrate relevant managerial experience in motivating staff to perform as a team in harmony with the goals of the organization and the team.

Preferred Qualifications

Master’s Degree in healthcare or related field preferred.

Project management, Six Sigma or other operational improvement methodologies would be helpful.

Special Knowledge, Skills, and Abilities

Must be highly motivated, productive, results-oriented, credible, professional, a creative problem solver, articulate, effective communicator, flexible, persuasive and able to work collaboratively

with a wide range of professional colleagues. Proven ability to implement and manage large operational projects in a complex environment.

Requires a detail-oriented individual with the ability to handle a high volume of multiple tasks and follow through to completion. Must be able to learn quickly and work independently to address a variety of complex issues.

Requires strong problem solving skills, analytical ability and organizational skills in order to assess information and issues and to provide recommendations based on data analysis or operational performance.

Must handle confidential and sensitive information in a discreet and professional manner. Must demonstrate sound and prudent judgment and the highest degree of integrity in all business dealings.

Proficient in Microsoft Word applications including Excel and Word, Outlook or equivalent e-mail, and internet usage. Familiar with Access data bases.

Physical Requirements

Sitting in a normal seated position for extended periods of time.

Reaching by extending hand(s) or arm(s) in any direction.

Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), e.g., use of keyboard.

Communication skills, using the spoken word.

Ability to see within normal parameters, ability to hear within normal range and ability to move about.

This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.

Classified Title:Director Compliance Operations
Working Title: Dir, Clinical Research Revenue Cycle & Billing Compliance ​​​​​
Role/Level/Range: L/04/LF
Starting Salary Range:$92,570 - $127,270; commensurate with experience
Employee group: Full Time
Schedule: Monday - Friday, 8:30 am - 5:00 pm / 37.5 hrs per week
Exempt Status: Exempt
Location: 04-MD:School of Medicine Campus
Department name: 50000400-Clinical Trials Operations
Personnel area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

School of Medicine - East Baltimore Campus


The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm

Similar jobs

Similar jobs