Business Implementation Manager

Quick Facts

• Role: Business Implementation Manager (Business Office functions)

Description

The Business Implementation Manager is responsible for managing and overseeing Business Office operations across a large, complex healthcare region. The role drives performance against VISN measures, provides enterprise-wide leadership for access management initiatives, and supports transformational care delivery improvements. It also ensures billing integrity and regulatory compliance while monitoring access and capacity performance metrics.

Responsibilities

• Manage VISN Business Office operations, including capture and verification of veteran insurance data, pre-registration, and pre-admission certification

• Recommend improvements, action plans, contracts, and other vehicles to accomplish Business Office work

• Act as VISN business lead/executive advisor for enterprise access management and high-profile strategic projects

• Provide SME input or lead implementation and performance improvement for scheduling optimization, capacity management, and transformational care delivery models

• Collaborate with facility leadership and national program offices to remove barriers to access and implement sustainable process improvements

• Analyze performance measures, access metrics, scheduling timeliness, consult management data, capacity utilization reports, and workload projections

• Oversee co-payment and pharmacy co-payment billing; manage third-party recoveries and various claim categories (e.g., tort, OWCP, humanitarian and ineligible, personal violence)

• Direct billing collaboration with CPAC, develop short- and long-range plans, and represent Business Office interests in VISN planning

• Use delegated authority to conduct investigations, audits, and fact-finding (including responses to OIG/OSC/OMI/White House inquiries/Congress requests)

• Safeguard medical documentation integrity for bills submitted to third-party insurers and federal agencies; identify staff training needs to meet HIM/CMS/HHS and related regulatory standards

• Ensure training resources for intake, integrated billing, accounts receivable, coding/compliance, electronic data interchange, and utilization review

• Communicate with and educate Veterans, VSOs, and community organizations on Business Office functions and regulatory/legislative impacts

Benefits

• Comprehensive U.S. government benefits package (eligibility depends on position type)