Project Manager - Revenue Integrity

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

The Revenue Integrity Project Manager leads and manages revenue integrity projects, including charge capture and compliance initiatives. This role combines clinical expertise with project management skills to enhance charge capture, billing accuracy, and overall revenue integrity. The successful applicant will assist with maintaining the integrity of the Revenue Integrity program to ensure compliance with the following:

Medicare/Medicaid regulations

Managed Care contractual agreements

Applicable policies of UT Southwestern University Hospital

BENEFITS

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

PPO medical plan, available day one at no cost for full-time employee-only coverage

100% coverage for preventive healthcare-no copay

Paid Time Off, available day one

Retirement Programs through the Teacher Retirement System of Texas (TRS)

Paid Parental Leave Benefit

Wellness programs

Tuition Reimbursement

Public Service Loan Forgiveness (PSLF) Qualified Employer

Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

Education

Bachelor's degree in nursing

Advanced degree may be considered in lieu of years of experience on a year for year basis

Experience

5 years' experience in healthcare revenue cycle management

Licenses and Certifications

(RN) REGISTERED NURSE Upon Hire and

Lean Six Sigma Certification Upon Hire

Preferred

Education

Master's degree in nursing

Experience

3 years' experience managing technology related projects or consulting

Knowledge of healthcare payer requirements, denial management, and regulatory compliance

Licenses and Certifications

Microsoft office specialist Certification; Word, Excel, and PowerPoint preferred Upon Hire

JOB DUTIES

Defines project scope, goals and deliverables in collaboration with Senior Management and stakeholders to align business objectives

Develops full-scale project plans, timelines and associated communication documents

Liaises with stakeholders and team members to set expectations and ensure alignment throughout the project lifecycle.

Assesses resource needs and negotiates with departmental managers for personnel allocation

Educate and collaborate with internal and external departments pertaining to clinical documentation, charge capture and overall revenue integrity.

Utilizes Epic tools for business case, KPIs, benchmarking and ongoing assessment of project success.

Collaborates with IT and Revenue Integrity Leadership to document key business objective, scope and tasks needed to enhance system functionality and automation in key revenue integrity areas.

Identifies and manages project dependencies, risks, and critical paths

Tracks progress against milestones, deliverables, KPIs. Provides status reports, create proposals, and presentations.

Troubleshoots issues, Problem solving, Educate, proactively manages scope changes.

Perform Audits as assigned

Defines and disseminates success criteria throughout the project lifecycle

Conducts post-project reviews, identifying successful and unsuccessful elements to improve future initiatives

Prepare reports and presentations for clinical leadership on project overcomes and financial performance.

Process Improvement and Best Practices

Develops tools and best practice for project execution and management

Identifies opportunities to streamline workflows, reduce manual interventions, and increase operational efficiencies.

SECURITY AND EEO STATEMENT

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.

EEO Statement

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Schedule: Full-time

Shift: Day Job

Travel: