Talent.com
Revenue Integrity Program Manager
Revenue Integrity Program ManagerVivent Health • Highland Park, MI, United States
Revenue Integrity Program Manager

Revenue Integrity Program Manager

Vivent Health • Highland Park, MI, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.part_time]
[job_card.job_description]

Revenue Integrity Program Manager

Get ready for something amazing! Imagine this : generous paid time off, including 12 paid holidays. And that's just the start of the incredible perks you'll enjoy at Vivent Health. There is 401k with 100% employer match up to 5%, 12 weeks of fully paid parental leave, employer subsidized medical, dental, vision benefits, and gender-affirming care benefits. And that's not even scratching the surface. Our complete package also includes employer paid short and long-term disability, tuition reimbursement, certification, and licensure assistance, and so much more. We also offer benefits for part-time roles!

But here's the real deal. Your journey with Vivent Health isn't just a job. It's a chance to join an organization dedicated to fostering a workforce that reflects diverse backgrounds, perspectives, and experiences. This makes you a part of something bigger and enables you to have a meaningful impact in our communities and the lives of the amazing patients we serve.

Here are a few highlights of what working at Vivent Health may offer you :

  • Equity Practices : Fair treatment, access, and opportunities for all employees, creating an environment where everyone feels valued, respected, and empowered to contribute.
  • Professional Growth : Opportunities for professional development and advancement, along with training programs and events that promote cultural competence, unconscious bias training, and awareness.
  • Collaboration on an inter-disciplinary team : Within our integrated HIV care and prevention model, we employ a high level of collaboration across disciplines. That means that, in your role, you will have the opportunity to be exposed to whole person-care across medical, behavioral health, pharmaceutical, research, and more!
  • Delivery of quality patient care : Our integrated HIV care and prevention model is proven to help patients achieve positive health outcomes.

The Revenue Integrity Program Manager is a strategic leader responsible for optimizing professional revenue through CDM maintenance, contracting and pricing strategy, coding education, clinical documentation audits, and payor enrollment. With strong analytical and communication skills, the Program Manager drives education, reporting, and productivity reviews that support financial sustainability and operational excellence. This position will routinely work in cross-functional collaboration, with patient access, billing office, clinical departments, compliance, and analytics teams to ensure accurate billing, regulatory adherence, and continuous improvement.

Winning skills and behaviors for success :

  • Manage contracting and pricing strategy for all Vivent Health clinical locations.
  • Provide oversight to payor enrollment team ensuring timely enrollment.
  • Conduct prospective and retrospective clinical documentation audits of charge capture practices and report findings.
  • Provide education to providers and charge capture support staff which includes CPT, HCPCS, revenue codes, and modifiers by payor and region.
  • Coordinate charge capture improvement tools.
  • Evaluate and maintain the system Charge Description Master (CDM) for compliance and consistency.
  • Lead projects to improve revenue capture and reduce provider burden.
  • Identify and resolve charging issues using EPIC work queues and external platforms.
  • Provide ongoing reporting and presentations to clinical and executive leadership.
  • Facilitate Revenue Integrity meetings.
  • Leadership is the ability to inspire, influence, and guide others towards achieving a common and / or strategic goal or vision. It involves several key elements :

  • Vision and Direction : A leader has a clear idea of where they want to go and communicates this vision effectively to others.
  • Motivation : Leaders inspire and motivate their team members, encouraging them to give their best effort and stay committed to the goals.
  • Decision Making : Effective leaders make informed decisions, often considering input from their team while taking responsibility for the final choices.
  • Communication : Communication skills are crucial for leaders to articulate their vision, provide feedback, and foster collaboration among team members.
  • Empathy and Emotional Intelligence : Leaders understand and relate to the emotions of others, building trust and creating a positive work environment.
  • Accountability : Good leaders take responsibility for their actions and decisions, setting a standard of accountability for themselves and their team.
  • Adaptability : In a dynamic environment, leaders must be flexible and adaptable, adjusting strategies and approaches as needed to achieve success.
  • Collaboration : Leaders model collaboration, engage teams and drive partnerships across departments to transfer knowledge, enhance decision-making and improve results.
  • Required and preferred knowledge and experiences to succeed :

  • Education : Bachelor's degree in a related field from an accredited college or university (or equivalent combination of education / experience).
  • Leadership : 2+ years of supervisory experience.
  • Work Experience : 5+ years of progressively responsible work experience in revenue cycle operations.
  • Technical Experience : Proficient in health care and professional revenue cycle operations. Expert in revenue data analysis and reporting. Knowledge of coding conventions and third-party payer rules. Experience with Epic Care, Epic Resolute, and related interfaces.
  • Soft Skills : Strong interpersonal and communication skills. Ability to influence decision-making through data-supported insights. Critical thinking and problem-solving abilities. Ability to facilitate stakeholder meetings and manage multiple priorities.
  • Additional Preferred Qualifications : COC, CPC-H, CCS, CPC, CCSP, RHIT, or RHIA certification preferred. HIV experience in a not-for-profit environment.
  • Statement of Inclusion :

    Vivent Health is an equal opportunity employer and will recruit, hire, promote, and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy), mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics, or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that specific county or municipal regulations may mandate.

    Vivent Health is deeply committed to fostering respect, dignity, and understanding for all individuals affected by HIV, regardless of race, ethnicity, sexual orientation, gender identity, socioeconomic status, or any other characteristic. We are dedicated to cultivating a supportive and inclusive environment that champions advocacy, education, and compassionate care for everyone in our diverse community.

    Going beyond the law's requirements, Vivent Health places great importance on fostering a culture that celebrates diversity, equity, inclusion, and belonging. We actively seek qualified candidates from different racial, cultural, and economic backgrounds, as we believe that differing perspectives and experiences make us stronger as an organization. Vivent Health encourages all interested persons to apply for this position, and we look forward to learning more about your unique background and qualifications.

    As a recipient of federal funding, Vivent Health will not hire nor enter a contractual relationship with any party debarred, suspended, or excluded from federal assistance programs.

    Salary : Starting at $85,000K / annually (Depending on Experience)

    Public Student Loan Forgiveness : Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for nor forgive federal student loans; however, our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.

    Please follow this URL to review one such program and their requirements :

    https : / / studentaid.gov / manage-loans / forgiveness-cancellation / public-service

    [job_alerts.create_a_job]

    Program Manager • Highland Park, MI, United States

    [internal_linking.similar_jobs]
    SALT Manager

    SALT Manager

    Plante Moran • Detroit, MI, United States
    [job_card.full_time]
    Our "we-care" culture is more than just a motto; it's a promise.From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Field Reimbursement Manager

    Field Reimbursement Manager

    Syneos Health / inVentiv Health Commercial LLC • Detroit, MI, United States
    [job_card.full_time]
    You are an expert facilitator : you open doors, foster communication, and bridge the gap.In this role, you will operate as the subject-matter expert on reimbursement, access, and coverage issues aff...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Manager

    Program Manager

    JBW Federal • Detroit, MI, USA
    [job_card.full_time]
    [filters_job_card.quick_apply]
    JBW Federal is a subsidiary company of the Kanaka Foundation -.An NHO who's mission is to support Native Hawaiians.You will receive a comprehensive benefits package that includes : .JBW Federal is se...[show_more]
    [last_updated.last_updated_30]
    Residential Program Manager

    Residential Program Manager

    Resource Innovations • Detroit, MI, US
    [filters.remote]
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are seeking a highly skilled and motivated Program Manager with a strong background in energy efficiency to join our team. In this role, you will work in a dynamic environment leading and ma...[show_more]
    [last_updated.last_updated_30]
    Regional Director, Risk & Quality Solutions

    Regional Director, Risk & Quality Solutions

    Detroit Staffing • Detroit, MI, US
    [job_card.full_time]
    Regional Director Risk & Quality Solutions.This person will be responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned ...[show_more]
    [last_updated.last_updated_1_hour] • [promoted] • [new]
    Program Manager

    Program Manager

    Performance Seats, Inc • Clinton Twp, MI, USA
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Reporting to the Director of Program Management, the program management team.The team applies product and business knowledge with financial acumen to advance the organizations goals for all the thr...[show_more]
    [last_updated.last_updated_30]
    Product Manager - Enrichment

    Product Manager - Enrichment

    Relativity • Detroit, MI, United States
    [job_card.full_time]
    AtRelativity, we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Manager, Migrations

    Program Manager, Migrations

    Relativity • Detroit, MI, US
    [job_card.full_time]
    Relativity's Account Services team within the Relativity Success team, ensures each customer or partner account for Relativity's business has a group of dedicated individuals to manage the account ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Director of Recreational Activities

    Director of Recreational Activities

    Optalis Healthcare • Grosse Pointe Woods, MI, United States
    [job_card.full_time]
    Director of Recreational Activities.Under the supervision of the Administrator, the Director of Recreational Activities assumes administrative authority, responsibility and accountability for the p...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Director - MBA / DBA Programs - Royal Oak Campus - Royal Oak, MI

    Program Director - MBA / DBA Programs - Royal Oak Campus - Royal Oak, MI

    Baker College • Royal Oak, MI, United States
    [job_card.full_time]
    Program Director - MBA / DBA Programs - Royal Oak Campus.Royal Oak, Michigan, United States.Discover the opportunity to join Baker College, honored as one of the 2024 & 2025 Best and Brightest Workpl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Program Manager

    Senior Program Manager

    Detroit Staffing • Detroit, MI, US
    [job_card.full_time]
    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.Plans ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Population Health Case Manager - $2,388 per week

    Travel Population Health Case Manager - $2,388 per week

    HonorVet Technologies • Detroit, MI, United States
    [job_card.full_time]
    HonorVet Technologies is seeking a Social Work Case Management for a travel job in Detroit, Michigan.Job Description & Requirements. Job Title : Integrated Case Manager.Shift : Days 8a-4 : 30p, rotati...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Sr Staff Technical Program Manager

    Sr Staff Technical Program Manager

    Detroit Staffing • Detroit, MI, US
    [job_card.permanent]
    Senior Staff Technical Program Manager.We are seeking a Senior Staff Technical Program Manager to lead and mature governance and compliance initiatives across our Digital Technology & Operations la...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Transportation Project Manager

    Transportation Project Manager

    Greenlife Healthcare Staffing • Rochester Hills, MI, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Transportation Project Manager – Rochester Hills, MI (#F0007).Employee retirement plan (401k) with a generous match and immediate vesting. Company-issued and company-paid Amex card for travel.All tr...[show_more]
    [last_updated.last_updated_30]
    Commercial and Small Business Closing Coordinator III

    Commercial and Small Business Closing Coordinator III

    Northwest Bank • Detroit, MI, US
    [job_card.full_time]
    The Commercial and Small Business Closing Coordinator III will be responsible for completing the due diligence for new loans and modifications, as well as facilitating the loan closing process by p...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Director of Rehabilitation (m / w / d)

    Director of Rehabilitation (m / w / d)

    Ronan HR Solutions Inc • Harper Woods, MI, United States
    [job_card.full_time]
    The Director of Rehabilitation is responsible for the overall clinical quality, integrity, service excellence, and financial viability of rehabilitation programs within designated geography to ensu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Manager of Substance Use Disorder Services

    Manager of Substance Use Disorder Services

    Oakland Community Health Network • Troy, MI, US
    [job_card.full_time]
    The Manager of Substance Use Disorder Services provides operational oversight for Oakland Community Health Network (OCHN’s) Substance Use ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Regional Manager

    Regional Manager

    TOTAL CARE THERAPY LLC • Detroit, MI, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are seeking an experienced and dynamic Regional Manager to join our leadership team and oversee multiple outpatient therapy clinics within our growing network. This role is responsible for drivin...[show_more]
    [last_updated.last_updated_variable_days]