AVP Financial Advocacy

Providence Health & Services; Los Angeles (CA); Hybrid; USD 180,000 - 280,000; Full time

Job summary

Providence Health & Services seeks an enterprise Associate Vice President of Financial Advocacy to lead regulatory compliance across the system in a hybrid role. The AVP will oversee financial counseling, Medicaid eligibility, and charity care programs, coordinating with legal and finance teams to ensure compliant, efficient operations for hospitals, physician practices, and services.

The role emphasizes policy updates, vendor collaboration, and innovation to improve workflows and patient

Qualifications

• Bachelor's degree required; MBA preferred for leadership roles.
• Minimum 10 years in revenue cycle leadership; 10 years in financial assistance/financial advocacy operations.
• At least 5 years of state or federal regulatory experience, including investigations.

Responsibilities

• Set strategy and standards for Financial Assistance and Financial Advocacy programs across Providence ministries.
• Lead internal audits for federal and state regulatory compliance, including IRS 501(r).
• Oversee patient financial counseling and Medicaid eligibility insourcing, and vendor strategy.
• Lead innovation and automation projects to improve caregiver workflow and patient experience; build PowerBI dashboards for compliance.
• Develop a high-performance team, align staffing with budget, ensure training and compliance.

Skills

Stakeholder management

Leadership

Regulatory knowledge

Healthcare revenue cycle

Education

Bachelor's degree

MBA or equivalent

Tools

PowerBI

Job description

Description

Calling All Revenue Cycle Leadership Professionals With A Strong Financial Advocacy along with State and Federal Regulatory Compliance Background....

Do you excel in navigating complex regulatory landscapes and driving transformational change within the Revenue Cycle?

The Role

Providence is seeking an enterprise Associate Vice President of Financial Advocacy. In this role, you will have focused accountability on regulatory compliance across the system. In this hybrid role, you will assume a pivotal role encompassing legal coordination, regulatory compliance, strategic decision-making, and leadership. This includes collaborating with key stakeholders across Providence, developing and executing plans for financial assistance, financial counseling and health equity; leading, contributing to, and partnering with others on strategic efforts; ensuring a compliant and streamlined operational experience for business and patient constituent groups. The AVP will lead and participate in innovation and automation for caregivers' workflow and patient experience. The AVP is accountable for the enterprise-level state and federal regulatory compliance, policies, and procedures, as well as the efficiency and effectiveness of Financial Advocacy Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 physician practices, and services. The Providence financial counseling team is insourced, processing nearly 200,000 financial assistance applications annually, resulting in $434M in charity care. About 44,000 Medicaid applications are processed each year with a revenue value of $34M.

The AVP is responsible for leading significant changes across the health system, including collaborating with key vendors concerning financial assistance screening, Federal Poverty Level scoring, and the supporting processes. These system changes have considerable regulatory, compliance, legal, and financial impacts into the tens of millions of dollars.

• Oversee uninsured and charity internal and external audits, acting as the subject matter expert for IRS audits concerning 501(r) requirements.
• Develop and maintain a high-performance team by ensuring staffing levels meet budget, all staff are fully trained, certified, and empowered to achieve performance and quality targets, developing career ladders as appropriate, ensuring individual and departmental compliance with all applicable laws and regulations as well as revenue cycle and Providence policies and procedures.
• Responsible for resolving escalated issues, including CMS, other regulatory bodies, legal, clinical, or patient experience matters.
• Oversee departmental budgets within leadership scope, including participation in budget development, approval responsibility, and ongoing monitoring for productivity and cost compliance.
• Ensure the development of standard educational materials to meet state and federal requirements. Responsible for developing System and state Charity Care/Financial Assistance policies, procedures, and process coordination with revenue cycle, finance, reimbursement, legal counsel, and other stakeholders as needed.
• The AVP leads the annual review of AGB calculations, updates charity policies, plain language summaries, and AGB definitions, updates hospital information systems, and posts charity policies per state regulations. The AVP will also participate in reviewing uninsured discounts with Corporate Reimbursement and Finance.
• Responsible for developing, coordinating, facilitating, administering, and improving internal and external communication programs and initiatives involving topics such as patient registration, financial assistance, billing, as well as those impacting reputation management, compliance, and the supporting culture.

Based in our dynamic setting, you will partner with key stakeholders across the health system to develop and execute plans for financial assistance and health equity. Your leadership will be instrumental in driving innovation, streamlining operations, and enhancing the overall experience for both business and patient constituent groups.

What You'll Do

Strategic Visionary

• Set strategy and standards for Financial Assistance and Financial Advocacy programs across all Providence ministries.
• Lead proactive internal auditing to ensure adherence to all federal and state regulations, including IRS 501(r) compliance.

Regulatory Expert

• Collaborate closely with Providence Legal and outside counsel to maintain policy compliance and interpret new or draft regulations.
• Act as an internal and external Subject Matter Expert (SME) on complex, high-risk regulatory matters that impact reputational risk.

Operational Leader

• Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy.
• Set strategic and performance goals for the departments, monitor results, and drive process improvement.

Innovation Driver

• Lead and participate in innovation and automation initiatives to improve caregiver workflow and patient experience.
• Collaborate with Data & Analytics to build PowerBI reports for monitoring processes and overall compliance.

Team Builder

• Develop and maintain a high-performance team, ensuring staffing levels meet budget, and all staff are fully trained, certified, and empowered to achieve performance and quality targets.
• Foster a culture of compliance, continuous improvement, and professional development within the team.

Change Manager

• Ensure timely and appropriate communication to employees, patients, and stakeholders about organizational changes.
• Actively manage employee engagement and morale during periods of profound organizational change.

What You'll Bring

• Educational Background: Bachelor's Degree in a relevant field; Master's Degree in Business Administration, Healthcare Administration, Public Administration, or a related field preferred.
• Experience: Minimum of 10 years of experience in a revenue cycle leadership role, with at least 10 years in revenue cycle, financial assistance, and/or financial advocacy operations. 5 years of experience in state or federal regulatory matters, including investigations.
• Skills: Strong demonstrated ability to build relationships and coordinate with Chief Executives and Division CFOs on AG and regulatory matters.
• Leadership: Effective leadership, organizational skills, and a high degree of initiative.
• Knowledge: In-depth knowledge of state and federal regulations and third-party contracts pertaining to healthcare reimbursement and collection processes.

Why Join Us?

• Make a Real Difference: Contribute to an organization dedicated to transforming healthcare and improving lives.
• Unleash Your Potential: Enjoy the autonomy and support needed to bring your innovative ideas to life.
• Work with the Best: Collaborate with a team of talented and dedicated professionals passionate about their work.
• Thrieve in a Dynamic Environment: Embrace the challenges and rewards of working in a fast-paced and ever-evolving industry.

Ready to Shape the Future of Healthcare?

If you're a visionary leader with a passion for healthcare and financial strategy, we encourage you to apply! Join our team and help us create a healthier future for all.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way". Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.