About Henry Ford Health
Serving communities across Michigan and beyond, Henry Ford Health provides a full continuum of services – from primary and preventative care, to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other healthcare retail. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Our Mission, Vision and Values
We improve people’s lives through excellence in the science and art of health care and healing.
We will be the trusted partner in health, leading the nation in superior care and value.
One of Michigan’s largest and most diverse employers
Deeply committed to diversity, equity, inclusion and justice
Research, Education and Training
- $100 million research enterprise
- Among top National Institutes of Health funded institutions in Michigan
- 2,000+ active research projects
- 4,000 medical students, residents and fellows trained annually
- $2.5 billion investment to construct new academic, medical and research center beginning in 2023
Leaders in Value-Based Care & Coverage
- Fully integrated insurance subsidiary, Health Alliance Plan (HAP) with six distinct product lines: Group-Insured Commercial, Individual, Medicare, Medicaid (through HAP Empowered Health Plan), Self-Funded and Network Leasing
- Only Michigan-based insurer to achieve 4.5 out of 5 stars for its Medicare HMO two years in a row and 4 stars or higher for both HMO and PPO each of the past three years from the Centers for Medicare and Medicaid Services (CMS)
- 650,000+ covered lives under value-based contracts: HAP membership + other value-based care arrangements
- 6 years of success in the NGACO model, currently participating in the MSSP Enhanced ACO model
- Full continuum of value-based and population health management services including care management, condition management, remote monitoring, mobile integrated health paramedic program, comprehensive integrated behavioral health program, embedded pharmacists, hospital at home and SNF at home programs and many others
- Enterprise-wide commitment to driving health equity within our populations
- Engaged in state-wide initiatives to advance technology-enabled solutions to address SDOH
Recognized for Clinical Excellence
- Henry Ford Medical Group: 1,900+ physicians and researchers in 40+ specialties
- Over 300 primary care providers in 50 locations
- 90 % of primary care practices are patient centered medical home designated
- HFMG PCPs available 24/7/365 on demand for virtual video visits
- Nation leading HEDIS metric performance with HTN control and HBA1c control in the top decile nationally
- Two Magnet® hospitals: awarded by the American Nurses Credentialing Center (ANCC), the gold standard in nursing excellence
- Level 1 Trauma Center
- Recognized for excellence in cardiology, cardiovascular surgery, neurology and neurosurgery, multi-organ transplants, cancer, orthopedics and sports medicine
- Created a 30-year agreement with Michigan State University to create a fully integrated academic health care partnership expanding opportunities in research, teaching and clinical care
Expanding Global Mission
- Three licensed hospitals: India and Saudi Arabia
- Tech start-up partnerships: Israeli technology sector
- Global Health Initiative: operating in 15 countries to improve the lives of underserved and vulnerable populations
Henry Ford Innovations
- Founded in 2012
- Vetting and prototype design for new inventions
- Product commercialization and in-depth market assessment
- Licensing agreements and tech transfer
- 6 spinoff companies
- 400+ invention disclosures
- 100+ patent applications
More information about Henry Ford Health can be found at: https://www.henryford.com/.
Reporting to the System EVP, & Chief Financial Officer, the Chief Revenue Officer (CRO) provides leadership and direction and is responsible for the revenue cycle functions for all HFH. Of these many functions, the CRO will have direct oversight for the management of Henry Ford Health’s (HFH) Net Patient Revenue and associated System-wide revenue cycle, reimbursement, and managed care contracting functions.
CRO is responsible for strategic and systemic approaches that contribute to the capture, management, and collection of patient service revenue. Advises and oversees investments and changes in software applications, outsourcing vendors, recovery projects and other interventions to collect the net revenue associated with patient services. The CRO must be able to coordinate processes across the health system and to facilitate cooperation amongst diverse departments and business units reporting to other health system executives. Great opportunity for process improvement
In addition, CRO has responsibility of system contracting, third-party payer reimbursement, value-based reimbursement, and revenue integrity with the goal to optimize overall performance and design system/processes that alert HFH to changes to performance. This role is essential in collaborating with executive and medical group/CIN/ACO leadership in developing innovative approaches to growing market share through the strategic planning, organization, implementation, and financial measurement of managed care contracts with current and future prospective health insurers and employers.
- Collaborate with System and Business Unit leadership teams, including hospital, Medical Group, and IT leadership to achieve the vision and strategic direction for revenue cycle, reimbursement, system contracting and revenue integrity business functions.
- Plans, develops, and implements new systematic approaches to maximizing revenue, improve financial performance, generate cash flow, and improve operational efficiency.
- Responsible for centralized analysis and project management of Revenue Cycle, Reimbursement & Contracting performance improvement initiatives.
- Develop the organizational framework to adopt a metrics driven balanced scorecard for assessing revenue cycle and contract performance effectiveness in relation to industry benchmarks.
- Develop targeted strategies to improve patient satisfaction with the revenue cycle/ patient billing process.
- Facilitates a matrixed approach in the development and redesign of business processes. Ability to work effectively with the health system’s organizational structure in planning and conducting needs-assessment activities to implement business solutions that improve operational processes.
- Leads multi-disciplinary teams and committees pertaining to service and functional areas.
- Provide advisory and operational assistance in the acquisition, development, and implementation of revenue cycle business systems.
- Provides leadership and direction to the patient financial services function to ensure the efficient operation of all aspects of the revenue cycle. In doing so, monitors and reports on quality and cycle time measures/benchmarks for patient financial services.
- Provides leadership and direction to Henry Ford Health’s reimbursement and direct contracting functions to ensure that revenue reporting adheres to regulatory guidelines.
- Collaborates with Executive leadership to develop system contracting strategy and serve as a key contracting strategist to ensure HFH is well positioned for transition from volume to value-based reimbursement.
- Oversees all payer negotiations in collaboration with medical group/CIN leadership for pay-for-performance, bundled payments, shared savings/risk, and traditional fee-for-service arrangements, including evaluation of reimbursement terms, contract language, risk-based arrangements, and operational implications. Payor products include CMS MSSP, commercial, Medicare Advantage, Medicaid HMOs, Direct to Employer, and other governmental and international payors.
- Maintains expertise in reimbursement methodologies and regulatory changes as they apply to payor contracts.
- Oversees the development and execution of System Revenue Cycle, Contracting and Reimbursement playbook to ensure alignment with health system strategic priorities and achievement of department goals.
- Ensure completion of various financial forecasts including cost center salary and direct expenses, month-end financial reporting, receivable levels, cost center productivity and any long range and strategic plans for the department.
- Provides mentorship of Vice Presidents and others within the Revenue Cycle.
- Bachelor’s Degree in Finance or Health Care Administration, required. Master’s Degree and Certified Public Accounting experience preferred.
- Ten (10) years of progressive leadership experience in revenue cycle including experience with Managed Care Contracting, Reimbursement and Revenue Integrity.
- 5+ years of senior leadership experience preferred.
- Must have a thorough knowledge of financial management principles and policies
- Ability to motivate teams to produce quality materials with tight timeframes and simultaneously manage several projects.