Director Patient Financial Services - Home Care & Retail/Specialty Pharmacy

SHIFT:
Day (United States of America)

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Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

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A Brief Overview
The Director, Patient Financial Services (PFS) – Home Care & Retail/Specialty Pharmacy provides strategic and operational leadership for revenue cycle functions supporting Home Care (Home Health, Home Infusion, DME), Retail Pharmacy, and Specialty Pharmacy service lines. This leader is accountable for optimizing financial performance, ensuring operational excellence, improving patient and payer experience, and driving continuous process improvement across multiple reimbursement models and service lines.

The Director partners closely with Finance, Clinical Operations, Pharmacy Leadership, Revenue Integrity, Digital & Technology Services (DTS), and external vendors to develop and implement strategies that improve cash collections, reduce accounts receivable, strengthen compliance, and enhance operational efficiency. The role also leads transformational initiatives, including automation, workflow redesign, reporting optimization, vendor management, and performance improvement efforts. Responsibilities are consistent with PFS initiatives focused on Home Care and Retail/Specialty Pharmacy optimization, Retail Pharmacy stabilization, operational standardization, automation, and revenue cycle excellence.

What you will do

- Provide strategic leadership for Home Care, Retail Pharmacy, and Specialty Pharmacy revenue cycle operations.
- Drive achievement of cash, accounts receivable, denial, productivity, and quality performance goals.
- Lead process improvement, operational redesign, and automation initiatives to enhance efficiency and scalability.
- Develop and monitor operational metrics, dashboards, and performance improvement plans.
- Partner with clinical, financial, operational, and technical stakeholders and leaders to optimize end to end revenue cycle processes.
- Oversee vendor relationships, service level agreements, and outsourced operational functions.
- Ensure compliance with local, state, and federal regulatory requirements, payer policies, accreditation requirements, and organizational standards.
- Lead and develop managers, supervisors, analysts, and operational teams through coaching, accountability, and succession planning.
- Manage complex payer escalations and support strategic initiatives that improve reimbursement and financial outcomes.
- Foster a culture of collaboration, continuous improvement, accountability, and service excellence.

Education Qualifications

- Bachelor's Degree - Required
- Master's Degree Healthcare Administration, Finance, Accounting, or other relevant major - Preferred

Experience Qualifications

- At least five (5) years management experience leading Physician Billing Office performance required
- Previous experience in an EPIC PB academic medical center environment preferred
- At least five (5) years of progressive leadership experience in healthcare operations, revenue cycle, financial operations, process improvement, consulting, home care operations, pharmacy operations, or related healthcare business functions preferred
- Demonstrated experience leading cross functional teams, operational transformation efforts, and large scale process improvement initiatives preferred
- Strong analytical, financial, project management, and change management skills preferred
- Experience utilizing data and performance metrics to drive operational and financial results preferred
- Knowledge of home care and pharmacy healthcare reimbursement, revenue cycle processes, pharmacy operations, or healthcare reimbursement and business operations preferred preferred

Skills and Abilities

- Excellent Leadership, analytical, financial, interpersonal and executive relations skills required.
- Ability to interact and develop effective working relationships with various professionals at various levels.
- Excellent written and verbal skills required; must be fluent in the use of Microsoft Office, personal computers, corporate billing systems, and their applications to medical setting.
- Proven ability to operate large scale billing operations at best practice levels and create analytics that demonstrate empirical excellence in patient financial services.
- Clear understanding of multiple types of independent physician reimbursement models as well as changing models such as bundles, value based, shared savings, provider risk models.
- Able to create and sustain group-teamwork dynamics, and strong team atmospheres.
- Must maintain an environment of world class customer service with patients & families, internal peers, and internal customers throughout the CHOP Care Network.
- Ability to manage multiple projects simultaneously and work effectively and efficiently with strict deadlines.
- Ability to manage and motivate all levels of employees allowing CHOP to attract, retain, and grow an optimal workforce and minimize undesirable turn-over.
- Familiarity with and commitment to quality/process improvement concepts and techniques.

Licenses and Certifications

- Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement

SALARY RANGE:

$100,000.00 - $375,000.00 Annually

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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This job is eligible for an incentive program.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.