Vanderbilt University Medical Center Director, Systems and Finance (EPIC HB/PB exp required) in Nashville, Tennessee

Director, Systems and Finance (EPIC HB/PB)

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Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

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Director – Revenue Cycle System and Finance coordinates prioritization for maintenance and optimization in the revenue cycle applications including patient accounting, patient access and other supporting applications for revenue cycle operations. The position ensures the focus is based on the development of these applications to optimize revenue cycle metrics and minimize staffing resources to accomplish workflows. The position leads a revenue cycle system support and web application development team in coordination with HealthIT to accomplish these responsibilities. The Finance responsibilities include managing the completion of the Revenue Cycle annual budget, monthly monitoring of expenses in alignment with this budget, including monitoring outsource vendor expenses and metrics for their performance. Additional finance responsibilities include assisting with vendor management financial performance analysis and insourced versus outsource financial analysis.


  • Develop goals and objectives for the department based on interpretation of institutional policy and goals.

  • Plan to achieve goals or establish priorities.

  • Help department understand, share and support the vision

  • Initiate changes in or develop new policies, procedures and/or methods.

  • Analyze long-range impact of decisions and plans.

  • Ensure the most effective operations of the department through program development, process improvement and coordination/integration of processes with other departments.

  • Design, implement, evaluate and market programs to maximize clinical outcomes, functional status, patient/customer satisfaction and reimbursement.

  • Standardize services, processes, resources, and practice to improve efficiency.

  • Supervision to include responsibility for planning, coordinating, and controlling the work and procedures; provide advice/consultation to staff regarding problems

  • Adjust work schedules or project priorities to meet emergencies or changing conditions

  • Participate on departmental and/or interdepartmental committees to address problems and facilitate information exchange about programs, problems, etc. Provide information to others (oral or written) to explain/clarify problems, issues or requests.

  • Participate in periodic management meetings to keep top management informed of department problems and concerns

  • Analyze and evaluate ongoing department programs to identify areas where adjustments/improvements are needed

  • Develop staffing plans to ensure developmental objectives are being met.

  • Define and achieve financial targets in support of business goals of the institution.

  • Prepare an annual operating budget for a unit or department, including direct labor, material and supplies, services, equipment maintenance and replacement

  • Present and justify a proposed budget (operating and capital expenditure) to a management review committee

  • Evaluate organizational functions and structures to best determine the allocation and utilization of resources

  • Analyze and evaluate budget variance to determine cause,

  • Prepare justification or develop alternatives for cost containment/reduction

  • Project future budgets based upon analysis of current operations.

  • Create and exceed service standards utilizing key service dimension and from knowledge of patient/customer expectations and best practice.

  • Establish service standards for the department and determine if service standards are compatible with financial targets.

  • Ensure that the service standards are met or exceeded by utilizing customer satisfaction, best practices and market information to improve customer service and satisfaction.

  • Create an organizational culture (both within and across departments) that provides a safe, satisfying and enriching environment for employees and provides a qualified, competent staff to meet patient needs.

  • Provide leadership to promulgate the mission and the values of the institution to the department.

  • Model behavior consistent with the mission, vision, and values of the enterprise through leading, coordinating projects, innovation, initiating improvement, and developing new programs.

  • Demonstrate a leadership style that is facilitative and collaborative.

  • Communicate within and across departments to maximize effectiveness, efficiently and information sharing.

  • Ensures all Human Resource and VUMC policies and procedures are followed according to standards.

  • Define the qualifications and performance expectations for all staff positions through the Performance Development system, including department specific job descriptions, measurable performance standards.

  • Create an environment that encourages and supports self-development and learning for all staff through regular feedback, by assuring the development of staff through orientation, training programs, work experiences and assessing competencies by meeting the performance expectations stated in his or her job description in a timely manner (normally annually).

  • Identify, establish and evaluate quality assurance standards, programs, and procedures within department.

  • Establish and evaluate standards of performance to ensure safe, effective, and efficient operation of the department.

  • Ensure that standards are met within area of responsibility to assure clinical enterprise accreditation/licensure.

VUMC Recent Accomplishments:

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

  • US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center at ), 12 adult and 10 pediatric clinical specialties ranked among the nation's best, #15 Education and Training

  • Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S.

  • Becker's Hospital Review: one of the "100 Greatest Hospitals in America"

  • The Leapfrog Group: grade "A" in Hospital Safety Score

  • National Institutes of Health: among the top 10 grant awardees for medical research in the US

  • Magnet Recognition Program: Vanderbilt nurses are the only group honored in Middle Tennessee

  • Nashville Business Journal: Middle Tennessee's healthiest employer

  • American Hospital Association: among the 100 "Most Wired" medical systems in the US*CA

Bachelor's Degree (or equivalent experience) and 8 years experience

Licensure, Certification, and/or Registration (LCR):

Job Professional and Managerial

Organization: Finance - Revenue Cycle 108400

Title: Director, Systems and Finance (EPIC HB/PB exp required)

Location: TN-Nashville-Vanderbilt Health One Hundred Oaks (OHO)

Requisition ID: 1803694