REQUIRED QUALIFICATIONS FOR APPOINTMENT:

KNOWLEDGE, SKILLS AND CAPACITIES:

• A thorough knowledge of the operations of the program or services area and the ability to utilize this knowledge in promoting effective and efficient programs and services.
• A thorough knowledge of trends and best practices in the program or services area and the ability to apply this knowledge to planning, coordinating, administering and evaluating the program.
• A working knowledge of the principles and practices employed in the administration of public health care programs and services.
• A working knowledge of relevant laws, regulations, policies and procedures.
• The ability to lead, supervise, direct, assign and evaluate the work of subordinates.
• The ability to provide leadership and coordination.
• The ability to serve as an effective member of an administrative team.
• The ability to communicate effectively.
• The ability to meet and conform to the requirements of an operational set of performance specifications.
• Related capacities and abilities.

EDUCATION AND EXPERIENCE:

Education: Such as may have been gained through: possession of a Bachelor’s Degree in Public Administration, Management, Health Administration, or in the specifically assigned area of organizational or program responsibility, supplemented by advanced training or education in a relevant field.

Experience: Such as may have been gained through: employment in a management capacity (line/direct service or staff support) in a health care environment.

Or, any combination of education and experience that shall be substantially equivalent to the above education and experience.

Supplemental Information

Repost - Previous applicants need not re-apply

BHDDH is seeking an experienced Hospital Revenue Cycle Manager – Reimbursement & Billing to oversee reimbursement and billing operations for its two state-operated hospitals. This leadership position plays a critical role in managing the end-to-end financial lifecycle of patient accounts, ensuring compliance with federal and state regulations, and maximizing reimbursement for services provided. The role carries significant supervisory responsibility, directing revenue cycle staff and collaborating across departments to drive financial performance, operational excellence, and regulatory compliance.

This role is particularly focused on Long-Term Acute Care Hospital (LTACH) billing and reimbursement, requiring specialized expertise in complex billing scenarios and regulatory requirements. The selected candidate will work closely with the hospital EHR implementation team to design and implement a new billing structure that supports accurate claims processing, tracking, and revenue optimization. Preferred experience in post-acute hospital billing extends to Inpatient Rehabilitation Facilities (IRF) and Skilled Nursing Facilities (SNF) environments.

The ideal candidate brings strong knowledge of hospital environments, Medicare, Medicaid, and third-party payer billing, along with demonstrated experience leading revenue cycle operations in post-acute or long-term care settings.

Preferred Qualifications

• Advanced knowledge of MS-LTC-DRG (Medicare Severity Long-Term Care Diagnosis-Related Group) methodologies
• Experience with enterprise EHR systems such as Wellsky, Epic, Meditech, or Oracle Health
• Experience managing patient financial assistance programs
• HFMA Certified Revenue Cycle Representative (CRCR)
• Certified Professional Biller (CPB)

Benefits

For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/. Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees. Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit. Accordingly, any employee hired after this date will be required to participate in the direct deposit system. At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.