Manager of Business Process Improvement

CMS

At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.

ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:

• LifeVest, the world's first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.
• HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.
• TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.

Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your work will help to ensure cardiac patients get the life-saving therapy they need.

ZOLL has been Pittsburgh's Manufacturer of the Year, one of Western PA's Healthiest Employers, and even one of Pittsburgh's Coolest Offices. But it's our unique opportunity to impact people's lives that makes ZOLL the ideal place to build your career.

Job Summary

The Manager of Business Process Improvement will be the internal champion for building a continuous improvement culture within Reimbursement Operations by creating and implementing process excellence across all business segments. The Manager of Business Process Improvement is responsible for identifying, scoping, planning and executing transformational business process improvement initiatives. This is a high visibility role which will require the ability to work cross-functionally with other departments within LifeVest, in addition to external vendors.

Essential Functions

• Develops a thorough understanding of all functional processes within Reimbursement Operations.
• Primes complex process improvement initiatives affecting multiple functions within Reimbursement Operations.
• Identifies and eliminates non-value added steps in reimbursement processes, and works closely with a Project Manager and/or technical teams to prioritize.
• Collaborates with impacted business areas to reengineer and optimize business processes across all channels.
• Manages the development of standard operating processes and maintains an organized repository of these functions within SharePoint.
• Proactively identifies tools and standard operating procedures required to effectively process orders, create claims, manage denials and submit patient appeals.
• Consistently originates innovative ideas in order to find better ways of accomplishing operational objectives through process improvement.
• Challenges process assumptions to ensure conclusions reached are appropriate for a technical enhancements and other strategic initiatives.
• Manages the collects, documentation and presentation of functional user requirements. ∙ Oversees user acceptance testing procedures for technology implementations and enhancements that impact reimbursement processes.
• Identifies ongoing training needs and assist with developing and implementing the required training activities and learnings across the organization.
• Leads a team of Business Process Improvement Coordinators, Reimbursement Trainers and Business Process Analysts.
• Establishes metrics to monitor team performance as compared to established goals and targets for improvement initiatives.
• Effectively communicates project status and outcomes to senior leadership (verbally and in writing) and serves as an escalation point for process improvement initiatives.
• Prepares high-level status reports on a frequent basis for the Director and VP, Reimbursement Operations.
• Manages external vendor relationships.

Required/Preferred Education and Experience

• BS/BA in Business Administration, Finance, Information Technology or relevant area of study required
• Master’s degree (MBA, MHA, or equivalent) preferred preferred.
• 5+ years of experience in medical billing, healthcare revenue cycle management, or a related healthcare operations role required.
• Hands-on experience with API integrations, data transfers, and troubleshooting issues across multiple interconnected applications.
• Experience implementing new processes, identifying process gaps, and driving cross-functional change management.
• Six Sigma or Lean certification prefered.

Knowledge, Skills and Abilities

• Proven track record in process improvement, workflow optimization, and operational efficiency initiatives within a healthcare or medical billing environment.
• Strong understanding of healthcare compliance standards (HIPAA, CMS guidelines) and payer requirements.
• Familiarity with medical billing software, EMR systems, and data analytics tools.
• Demonstrated ability to lead root cause analysis, develop corrective action plans, and manage complex technical workflows.
• Excellent communication skills for collaborating with IT, operations, and clinical teams.

Physical 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.

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Talking - Occasionally
• Hearing - Occasionally
• Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

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The annual salary for this position is:

$110,000.00 to $125,000.00

Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.

Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee’s primary work location.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.

ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.