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Director of Content Management, Healthcare Co

Alpha II

Alpha II

United States
Posted on Oct 3, 2024

Alpha II is a quickly-growing, acquisitive, private-equity owned software company. Alpha II empowers precision across the healthcare revenue cycle for healthcare professionals, clearinghouses and government entities. Join a Finance Team with deep experience working in private equity including M&A integrations & buy-side and sell-side diligence. Expect to get your hands dirty working on current and future acquisitions, interact with the Executive Team and BOD, and help build a platform for growth.

Position Overview

The Director of Content Management will lead the development, organization, and strategic oversight of content related to coding compliance, billing requirements, and other payer policies/regulations. This role is critical in ensuring that our solutions remain compliant with evolving healthcare laws and guidelines while producing high-quality, accurate, and timely content that supports our clients' operational needs.

The ideal candidate will possess a deep understanding of healthcare coding, billing processes, and Medicare regulations. They will have a strong leadership background, with experience managing cross-functional teams, driving content strategy, and implementing best practices in a dynamic and highly regulated environment.

Key Responsibilities

  • Strategic Leadership:
    • Develop and execute the content management strategy for all related product offerings.
    • Stay updated on industry trends, regulatory changes, and best practices to ensure content relevance and accuracy.
    • Lead and mentor a team of content creators, analysts, and subject matter experts to produce high-quality content.
    • Prioritize competing content management/creation initiatives to ensure that resources are focused on the highest value projects from a compliance and revenue impact perspective.
    • Identify opportunities for new content development to expand the value delivered to clients within our solutions and drive revenue growth
  • Content Development & Management:
    • Oversee the creation, curation, and maintenance of all business rules and code sets (ICD-10, CPT, HCPCS, etc.) related to coding compliance, billing requirements, and other payer policies/regulations
    • Ensure all content is compliant with current healthcare regulations and is updated regularly to reflect changes.
    • Collaborate with internal teams, including Operations, Legal, and Product, to align content with organizational goals and client needs.
    • Optimize all content management processes to maintain the highest quality output while maximizing resource utilization

  • Regulatory Compliance:
    • Monitor changes in CMS regulations, payer guidelines, and healthcare laws, ensuring content is updated to maintain compliance.
    • Ensure that all published content meets regulatory standards.
    • Ensure all third-party material (e.g. AMA, AHA content) is acquired in a manner that complies with any applicable licensing restrictions and that applicable fees are paid in a timely manner.

  • Team Development & Leadership:
    • Build, manage, and develop a high-performing content team with expertise in healthcare coding and billing.
    • Provide continuous feedback, coaching, and development opportunities to enhance team performance.
    • Foster a culture of innovation, accountability, and collaboration within the team.

  • Stakeholder Collaboration:
    • Work closely with leadership to align content strategy with business objectives.
    • Collaborate with product and technology teams to integrate content into digital platforms and tools.
    • Engage with clients and industry experts to understand their needs and ensure content meets or exceeds market expectations.

  • Performance Metrics & Reporting:
    • Establish key performance indicators (KPIs) to measure the effectiveness of content strategies and initiatives.
    • Regularly report on content performance, compliance status, and strategic goals to senior leadership.
    • Use data-driven insights to continuously improve content quality, relevance, and user engagement.

Qualifications

  • Education:
    • Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field; Master’s degree preferred.
    • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification is highly desirable.

  • Experience:
    • Minimum of 10 years of experience in healthcare content and/or revenue cycle management, with a focus on coding, billing, CMS regulations, and denial prevention.
    • Proven experience in a leadership role, managing large teams and complex projects in a healthcare setting.
    • Deep understanding of healthcare coding systems (ICD-10, CPT, HCPCS) and billing requirements for commercial and government payers.
    • Deep understanding of standard healthcare EDI standards and billing/remittance formats (ANSI 837/835, NUCC, NUBC)
    • Familiarity with Agile/Scrum product development methodology highly desirable

  • Skills & Competencies:
    • Strong strategic thinking, with the ability to develop and implement content strategies that align with business goals.
    • Excellent communication and collaboration skills, with the ability to influence and work effectively across all levels of the organization.
    • High attention to detail and commitment to accuracy in content related to healthcare regulations.
    • Ability to manage multiple projects simultaneously, with a focus on delivering high-quality content on time and within budget.
    • Certification in Medical Coding/Billing (AAPC) or Healthcare Compliance (CHC) preferred

Physical Requirements: Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.