System VP - Chief Payment Strategy Officer at Ochsner… · New…

System VP - Chief Payment Strategy Officer Location: New Orleans - New Orleans Region - Louisiana We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.  Come make a difference at Ochsner Health and discover your future today! This job will serve as the strategic integrator across all functions in the organization that impact how we get paid, including developing strategies that specifically address the general industry trend that revenue increases are not keeping up with the inflation in medical expenses. This job focuses on optimizing net revenue performance, advancing payer strategy, and driving reimbursement innovation, including the walk from existing payment structures to value-based and direct to employer strategies. Partners closely with Finance, Operations, Physicians and other executive leaders to ensure payment-related initiatives are cohesive, forward-looking, and support the company’s mission to inspire healthier lives and stronger communities. This role is intended to provide strategic leadership and enterprise-wide alignment related to payment and reimbursement strategy and does not supersede or replace the established responsibilities of Legal, Compliance, Privacy, or clinical leadership for regulatory adherence, clinical decision-making, or enforcement of applicable laws, regulations, accreditation standards, or payer requirements. Accountability for regulatory compliance, clinical appropriateness, and ethical standards remains vested in the appropriate functional leaders and governance structures, with this role partnering closely to ensure strategies are developed and executed in alignment with all regulatory and organizational requirements. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion. Education Required - Bachelor’s degree in accounting, finance, business administration, or related field. Preferred - Master’s degree in business administration, accounting, finance, or related field. Work Experience Required - 10 years of senior leadership experience in healthcare finance, operations, revenue strategy, or payor relations. Knowledge Skills and Abilities (KSAs) Proven success in leading strategic initiatives across complex health systems. Deep understanding of healthcare managed care contracting, reimbursement methodologies, revenue cycle, and utilization management. Expertise in value-based payment models and healthcare financial regulations. Strong understanding of financial statements and drivers of operating performance. Experience evaluating and implementing technology solutions, including automation and AI. Exceptional executive presence, communication skills, and strategic acumen. Job Duties Design and lead a unified front-end revenue strategy that supports Ochsner’s financial goals and system-wide objectives. Serve as a strategic thought partner to the CFO and executive leadership team on how to transition from how we are paid today to a model where we are paid fairly for our work in both value-based care and fee for service payments. Ensure revenue functions are integrated with clinical, operational, and financial strategies to drive sustainable performance. Provide strategic direction and coordination of how we are paid for our services, most importantly to drive how we partner and contract with payors, employers or other end users of our services. Foster alignment across teams and functions, ensuring a cohesive approach to revenue generation, payor relations, and optimization of reimbursement and cashflow. Represent revenue strategy in system-wide forums, executive committees, and board-level discussions. Coordinate with GR on driving leadership in national discussions on reimbursement related issues. Provide executive oversight of technology use to improve our ability to monitor and impact payor behavior. Assess current data deficiencies in monitoring payor behavior, and develop a plan to alleviate. Develop, maintain, and innovate dashboards to evaluate performance and validate external payor data sources to ensure proper payment. Monitor key revenue performance indicators and identify opportunities for strategic improvement. Champion a culture of accountability, transparency, and continuous improvement across all revenue functions. Performs other related duties as assigned. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users.  If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.